Healthcare Provider Details

I. General information

NPI: 1851192157
Provider Name (Legal Business Name): NOUVELLE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2025
Last Update Date: 03/22/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 POMPTON AVE STE 304L
VERONA NJ
07044-2939
US

IV. Provider business mailing address

25 POMPTON AVE STE 304L
VERONA NJ
07044-2939
US

V. Phone/Fax

Practice location:
  • Phone: 862-596-4449
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: DR. DORATHY OKEKE-OKICHE
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 973-868-8751