Healthcare Provider Details

I. General information

NPI: 1851206577
Provider Name (Legal Business Name): PATRICIA UCHEOMA UKAIGWE DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 WOODSIDE RD
MAPLEWOOD NJ
07040-1951
US

IV. Provider business mailing address

92 WOODSIDE RD
MAPLEWOOD NJ
07040-1951
US

V. Phone/Fax

Practice location:
  • Phone: 973-760-6536
  • Fax:
Mailing address:
  • Phone: 973-760-6536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberF382930-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: