MEDICARE: HEALTHY HANDS HEALTH GROUP

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	363LA2200X	Adult Health Nurse Practitioner

General Provider Information

NPI Number	:	1447188594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY HANDS HEALTH GROUP

Provider Business Mailing Address
First Line	:	511 S ORANGE AVE # 2196
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07103-1342
Country	:	US
Telephone Number	:	718-930-4157
Fax Number	:	585-206-4849

Provider Business Practice Location Address
First Line	:	120 DODD ST.
Second Line	:
City	:	EAST ORANGE
State	:	NJ
Zip	:	07017
Country	:	US
Telephone Number	:	718-930-4157
Fax Number	:	585-206-4849

Authorized Official
Title or Position	:	AGNP-C
Name	:	KAMILLA HASSIMA RICHARDS
Credential	:	NP
Telephone Number	:	718-930-4157

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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