Healthcare Provider Details

I. General information

NPI: 1003559329
Provider Name (Legal Business Name): DANIKA NGOZIKA ANI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2022
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6097 EASTON RD
PIPERSVILLE PA
18947-1810
US

IV. Provider business mailing address

6097 EASTON RD
PIPERSVILLE PA
18947-1810
US

V. Phone/Fax

Practice location:
  • Phone: 267-927-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0008933
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: