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NPI 1043159528 · Home Health Aide · Pine Hill, NJ
Provider details
- NPI number
- 1043159528
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
- Specialist174400000X
Other Service Providers
- Personal Care Attendant3747P1801X
Nursing Service Related Providers
- Homemaker376J00000X
Nursing Service Related Providers
Practice location
213 E 11th Ave
Pine Hill, NJ 08021-6531
Phone: (609) 635-1704
Approximate (ZIP-level) locationGet directions
Mailing address
28 Spring St Unit 442
Princeton, NJ 08542-6901
Registry dates
- Enumerated
- 2026-03-27
- Last updated
- 2026-03-27
- Certified
- 2026-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.