Provider Demographics
NPI:1699490243
Name:OKAFOR, NGOZI RITA (APN)
Entity type:Individual
Prefix:
First Name:NGOZI
Middle Name:RITA
Last Name:OKAFOR
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 WELLINGTON CT
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-5866
Mailing Address - Country:US
Mailing Address - Phone:856-405-7070
Mailing Address - Fax:
Practice Address - Street 1:750 WELLINGTON CT
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-5866
Practice Address - Country:US
Practice Address - Phone:856-484-1293
Practice Address - Fax:856-234-0091
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-06
Last Update Date:2024-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01378800363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health