MEDICARE: SKYVIEW HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1386421915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKYVIEW HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	2040 MILLBURN AVE STE 206
Second Line	:
City	:	MAPLEWOOD
State	:	NJ
Zip	:	07040-3716
Country	:	US
Telephone Number	:	973-996-2078
Fax Number	:

Provider Business Practice Location Address
First Line	:	2040 MILLBURN AVE STE 206
Second Line	:
City	:	MAPLEWOOD
State	:	NJ
Zip	:	07040-3716
Country	:	US
Telephone Number	:	973-996-2078
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER/OWNER
Name	:	IVY NNOROM
Credential	:	NP
Telephone Number	:	862-888-2001

Provider Enumeration Date	:	09/08/2023
Last Update Date	:	06/13/2026

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Directions to “SKYVIEW HEALTH SERVICES LLC ” Practice Location

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