Healthcare Provider Details

I. General information

NPI: 1609036599
Provider Name (Legal Business Name): NKECHINYERE AMADI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2008
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 BELLEVUE AVE
TRENTON NJ
08618-4514
US

IV. Provider business mailing address

433 BELLEVUE AVE
TRENTON NJ
08618-4514
US

V. Phone/Fax

Practice location:
  • Phone: 609-394-4111
  • Fax: 609-394-7040
Mailing address:
  • Phone: 609-394-4111
  • Fax: 609-394-7040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number82149
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMA083564
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: