SIDWA ENTERPRISE II, LLC
NPI 1902252315
Nurse Practitioner - Adult Health in Forked River, NJ

Active since May 04, 2016
1043 MONTAUK DR, FORKED RIVER, NJ 08731(609) 339-5667(888) 836-3950 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sidwa Enterprise Ii, Llc NPPES

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

SIDWA ENTERPRISE II, LLC (NPI 1902252315) is a healthcare organization registered as an adult health in Forked River, New Jersey and active in the NPI registry since May 2016. The organization lists Vickie S Sidwa, President Owner, as its authorized official.

NPPES Registry Identity

NPI1902252315
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameSIDWA ENTERPRISE II, LLC
Location Address1043 MONTAUK DRForked River, NJ 08731-2004
Mailing Address1043 Montauk DrForked River, NJ 08731-2004 · (609) 339-5667 · Fax (888) 836-3950
Fax(888) 836-3950
Organization SubpartNo
Authorized OfficialVickie S SidwaPresident Owner · (609) 339-5667
Enumeration DateMay 4, 2016
Last NPPES UpdateMay 10, 2016
NPI 1902252315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NJ · 26NN10119300
1043 MONTAUK DR, Forked River, NJ 08731

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Adult Health)
1043 MONTAUK DR
FORKED RIVER, NJ 08731

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 Sidwa Enterprise II, LLC's NPI number?

The NPI number for Sidwa Enterprise II, LLC is 1902252315. It was assigned to this organization in the NPPES registry on May 4, 2016.

Where is Sidwa Enterprise II, LLC located?

Sidwa Enterprise II, LLC is located at 1043 Montauk Dr, Forked River, NJ 08731. The listed phone number is (609) 339-5667.

What is Sidwa Enterprise II, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Sidwa Enterprise II, LLC was last updated on May 10, 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.