Healthcare Provider Details

I. General information

NPI: 1417867953
Provider Name (Legal Business Name): NEXIUS HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 HILLSIDE AVE APT 2
LEONIA NJ
07605-1627
US

IV. Provider business mailing address

183 HILLSIDE AVE APT 2
LEONIA NJ
07605-1627
US

V. Phone/Fax

Practice location:
  • Phone: 551-451-9096
  • Fax:
Mailing address:
  • Phone: 551-451-9096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN D SUNG
Title or Position: CO-FOUNDER
Credential: RN
Phone: 551-451-9096