Healthcare Provider Details

I. General information

NPI: 1083527188
Provider Name (Legal Business Name): KAYLA NUEVA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 ROUTE 130
DELRAN NJ
08075-1868
US

IV. Provider business mailing address

7001 ROUTE 130
DELRAN NJ
08075-1868
US

V. Phone/Fax

Practice location:
  • Phone: 845-558-2925
  • Fax:
Mailing address:
  • Phone: 845-558-2925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04513500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: