Nissi IV Hydration Therapy and Wellness Clinic LLC
NPI 1245005669ActiveOrganization· Family Medicine· East Brunswick, NJ
Family Medicine in East Brunswick, New Jersey, registered in NPPES in November 2023. The authorized official on file is Amanda Adiyia, FNP, Owner,administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245005669 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 15, 2023 |
| Last updated in NPPES | Mar 2, 2026 |
| Certified by provider | Mar 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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