Comprehensive Medical Center LLC
NPI 1689071722ActiveOrganization· Nurse Practitioner, Adult Health· Irvington, NJ
Nurse Practitioner, Adult Health in Irvington, New Jersey, registered in NPPES in December 2014. The authorized official on file is Sonya Goodrich, Biller. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689071722 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 3, 2014 |
| Last updated in NPPES | Mar 23, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 26NN09682500 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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