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IDAMA HEALTHCARE
NPI 1093289852
Clinic/Center - Health Service in South Orange, NJ

Active since January 15, 2019
4 S ORANGE AVE SUITE 253, SOUTH ORANGE, NJ 07079(862) 240-1615(862) 367-8367 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2020, Jan 15, 2019 (2 updates tracked since 2019).

About Idama Healthcare NPPES

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

IDAMA HEALTHCARE (NPI 1093289852) is a healthcare organization registered as a health service in South Orange, New Jersey and active in the NPI registry since January 2019. The organization lists Amache Onyeani, Manager, as its authorized official.

NPPES Registry Identity

NPI1093289852
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameIDAMA HEALTHCARE
Location Address4 S ORANGE AVE SUITE 253South Orange, NJ 07079-1702
Mailing Address4 S Orange Ave # 253South Orange, NJ 07079-1702 · (862) 240-1615 · Fax (862) 367-8367
Phone(862) 240-1615
Fax(862) 367-8367
Organization SubpartNo
Authorized OfficialAmache OnyeaniManager · (908) 512-8724
Enumeration DateJanuary 15, 2019
Last NPPES UpdateMay 20, 20202 updates tracked since enumeration
NPPES CertifiedMay 20, 2020
✔ NPI 1093289852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
4 S ORANGE AVE SUITE 253, South Orange, NJ 07079
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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 Idama Healthcare's NPI number?

The NPI number for Idama Healthcare is 1093289852. It was assigned to this organization in the NPPES registry on January 15, 2019.

Where is Idama Healthcare located?

Idama Healthcare is located at 4 S Orange Ave Suite 253, South Orange, NJ 07079. The listed phone number is (862) 240-1615.

What is Idama Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Idama Healthcare was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.