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DR. PRISCILLA ITUA MD
NPI 1639811680
Student in an Organized Health Care Education/Training Program in Atlantic City, NJ

Active since April 11, 2022PECOS Enrolled
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401(609) 464-2564 Get Directions Write a Review

NPPES record last updated: June 5, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Priscilla Itua Md NPPES

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

DR. PRISCILLA ITUA MD (NPI 1639811680) is an individual student in an organized health care education/training program in Atlantic City, New Jersey and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639811680
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. PRISCILLA ITUACredential: MD
Location Address1925 PACIFIC AVEAtlantic City, NJ 08401-6713
Mailing Address110 E Jimmie Leeds RdGalloway, NJ 08205-9479
Phone(609) 464-2564
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 11, 2022
Last NPPES UpdateJune 5, 2022
NPPES CertifiedMay 27, 2022
✔ NPI 1639811680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1925 PACIFIC AVE, Atlantic City, NJ 08401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Priscilla Itua Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355806738
PECOS Enrollment IDI20260717000212
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

NEWAZ MOHAMMED HOSSAIN MD
Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 441-8146
JITEN DESAI
Internal Medicine (Gastroenterology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 652-1000
EMAAN SALAM MD
Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (188) 856-9100
CHERYL LYNN HEINZ
Peer Specialist
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 703-7422
MANISHA KHATIWALA MD
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 345-4000
KELLY MARIE WILLMAN M.D.
Surgery (Trauma Surgery)
1925 PACIFIC AVE, TRAUMA DEPARTMENT
ATLANTIC CITY, NJ 08401
Atlantic County (609) 441-8023
MARIE FARNSWORTH
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 345-4000
RAJESH I PATEL MD
Radiology (Diagnostic Radiology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 677-9729

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 Priscilla Itua's NPI number?

The NPI number for Priscilla Itua is 1639811680. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Priscilla Itua located?

Priscilla Itua practices at 1925 Pacific Ave, Atlantic City, NJ 08401. The listed phone number is (609) 464-2564.

What is Priscilla Itua's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Priscilla Itua enrolled in Medicare?

Yes. Priscilla Itua is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Priscilla Itua was last updated on June 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.