Provider Demographics
NPI:1871319921
Name:NNENJI, ONYINYE
Entity type:Individual
Prefix:
First Name:ONYINYE
Middle Name:
Last Name:NNENJI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 21ST ST APT B2
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-5508
Mailing Address - Country:US
Mailing Address - Phone:862-237-5890
Mailing Address - Fax:
Practice Address - Street 1:101 21ST ST APT B2
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-5508
Practice Address - Country:US
Practice Address - Phone:862-237-5890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06719100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty