Preethi Idiculla, RNFA - Nurse Practitioner in Union, NJ

Preethi Idiculla, RNFA is a Nurse Practitioner - Family based in Union, New Jersey. Preethi Idiculla is licensed to practice in New Jersey (license number 26NJ01318900) and her current practice location is 968 Wendy Ct, Union, New Jersey. She can be reached at her office (for appointments etc.) via phone at (917) 858-0953.

NPI number for Preethi Idiculla is 1164957494 and her current mailing address is 968 Wendy Ct, Union, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164957494.

Contact Information

Preethi Idiculla, RNFA
968 Wendy Ct,
Union, NJ 07083-5637
(917) 858-0953
Not Available



Provider's Profile

Full NamePreethi Idiculla
GenderFemale
SpecialityNurse Practitioner - Family
Location968 Wendy Ct, Union, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164957494
  • Provider Enumeration Date: 04/24/2017
  • Last Update Date: 08/25/2023

Medical Identifiers

Medical identifiers for Preethi Idiculla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164957494NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WR0006XRegistered Nurse - Registered Nurse First Assistant 26NR1204800 (New Jersey)Secondary
363LF0000XNurse Practitioner - Family 26NJ01318900 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Preethi Idiculla is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Preethi Idiculla, RNFA
968 Wendy Ct,
Union, NJ 07083-5637

Ph: (917) 858-0953
Preethi Idiculla, RNFA
968 Wendy Ct,
Union, NJ 07083-5637

Ph: (917) 858-0953

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Nurse Practitioner Nurses in Union, NJ

Rhoda W Kimani, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 858 Dewey St Fl 2, Union, NJ 07083
Phone: 908-887-2737    
Ms. Vody Elaine Vincent,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2742 Alice Ter, Union, NJ 07083
Phone: 908-708-3618    Fax: 862-205-2477
Dr. Daniel D Okoro, DNP, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 540 North Ave, Union, NJ 07083
Phone: 908-355-5500    Fax: 908-355-5502
Lateef Ajanaku-makun, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1577 Ridgeway St, Union, NJ 07083
Phone: 973-342-1160    
Rosalyn Abraham,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 856 Mitchell Ave, Union, NJ 07083
Phone: 908-964-4357    
Janelle Rebustes,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 871 Garden St, Union, NJ 07083
Phone: 973-489-0196    
Jose Polanco,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8 Jensen Ln, Union, NJ 07083
Phone: 973-725-4078    

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