Healthcare Provider Details

I. General information

NPI: 1063375996
Provider Name (Legal Business Name): GIFTY ODEI APAU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 CLINTON AVE FL 2
NEWARK NJ
07114-2012
US

IV. Provider business mailing address

70 CLINTON AVE FL 2
NEWARK NJ
07114-2012
US

V. Phone/Fax

Practice location:
  • Phone: 717-620-1745
  • Fax:
Mailing address:
  • Phone: 717-620-1745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberHP0423000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHP0423000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: