SKYHEART MEDICAL LLC
NPI 1972194215
Nurse Practitioner - Primary Care in Elizabeth, NJ

Active since January 29, 2021
1126 DICKINSON ST, ELIZABETH, NJ 07201(973) 343-5660(833) 978-0843 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, Jan 17, 2022, Aug 20, 2021 and 1 more (4 updates tracked since 2021).

About Skyheart Medical Llc NPPES

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

SKYHEART MEDICAL LLC (NPI 1972194215) is a healthcare organization registered as a primary care in Elizabeth, New Jersey and active in the NPI registry since January 2021. The organization lists Debbie Y Mohammed, Np/owner, as its authorized official.

NPPES Registry Identity

NPI1972194215
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameSKYHEART MEDICAL LLC
Location Address1126 DICKINSON STElizabeth, NJ 07201-2404
Mailing Address634 Eagle Rock Ave Unit 202West Orange, NJ 07052-6801 · (973) 343-5660 · Fax (833) 978-0843
Fax(833) 978-0843
Organization SubpartNo
Authorized OfficialDebbie Y MohammedNp/owner · (973) 343-5660
Enumeration DateJanuary 29, 2021
Last NPPES UpdateDecember 9, 20244 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
NPI 1972194215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1126 DICKINSON ST, Elizabeth, NJ 07201

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 2

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

Social Worker (Clinical)
1126 DICKINSON ST
ELIZABETH, NJ 07201
Community/Behavioral Health
1126 DICKINSON ST
ELIZABETH, NJ 07201

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 Skyheart Medical LLC's NPI number?

The NPI number for Skyheart Medical LLC is 1972194215. It was assigned to this organization in the NPPES registry on January 29, 2021.

Where is Skyheart Medical LLC located?

Skyheart Medical LLC is located at 1126 Dickinson St, Elizabeth, NJ 07201. The listed phone number is (973) 343-5660.

What is Skyheart Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Skyheart Medical LLC was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.