Provider Demographics
NPI:1487238606
Name:OKONKWO, UZOAMAKA LILIAN (NP)
Entity type:Individual
Prefix:
First Name:UZOAMAKA
Middle Name:LILIAN
Last Name:OKONKWO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:UZOAMAKA
Other - Middle Name:LILIAN
Other - Last Name:OKONKWO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:9 SUMMIT CT
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-7226
Mailing Address - Country:US
Mailing Address - Phone:917-213-6282
Mailing Address - Fax:
Practice Address - Street 1:1 DIAMOND HILL RD FL G
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-2104
Practice Address - Country:US
Practice Address - Phone:908-277-8649
Practice Address - Fax:908-277-8808
Is Sole Proprietor?:No
Enumeration Date:2021-05-12
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01180400363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health