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INITIA NOVA LLC
NPI 1013461243
Specialist in Cherry Hill, NJ

Active since August 04, 2016
1930 MARLTON PIKE E STE H42, CHERRY HILL, NJ 08003(856) 425-2942 Get Directions Write a Review

NPPES record last updated: August 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Initia Nova Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INITIA NOVA LLC (NPI 1013461243) is a healthcare organization registered as a specialist in Cherry Hill, New Jersey and active in the NPI registry since August 2016. The organization lists Patrick O Sullivan, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1013461243
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINITIA NOVA LLC
Location Address1930 MARLTON PIKE E STE H42Cherry Hill, NJ 08003-4104
Mailing Address1930 Marlton Pike E Ste H42Cherry Hill, NJ 08003-4104 · (856) 425-2942
Phone(856) 425-2942
Organization SubpartNo
Authorized OfficialPatrick O SullivanChief Medical Officer · (856) 625-8563
Enumeration DateAugust 4, 2016
✔ NPI 1013461243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 37F100176500 (NJ)
1930 MARLTON PIKE E STE H42, Cherry Hill, NJ 08003
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RENA S. BEYER MSW, LCSW
Social Worker (Clinical)
1930 MARLTON PIKE E STE H42
CHERRY HILL, NJ 08003
Camden County (856) 888-1659

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Initia Nova LLC's NPI number?

The NPI number for Initia Nova LLC is 1013461243. It was assigned to this organization in the NPPES registry on August 4, 2016.

Where is Initia Nova LLC located?

Initia Nova LLC is located at 1930 Marlton Pike E Ste H42, Cherry Hill, NJ 08003. The listed phone number is (856) 425-2942.

What is Initia Nova LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Initia Nova LLC was last updated on August 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.