Healthcare Provider Details

I. General information

NPI: 1639005036
Provider Name (Legal Business Name): SABRINA KANG CAMPBELL
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 BERGEN ST
NEWARK NJ
07107-3001
US

IV. Provider business mailing address

80 FREEMAN ST APT 334
NEWARK NJ
07105-0290
US

V. Phone/Fax

Practice location:
  • Phone: 267-342-4376
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number26NR27149900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: