Lacondia Sundiata, is a
Nurse Practitioner - Family based in Pine Hill, New Jersey. Lacondia Sundiata is licensed to practice in New Jersey (license number 26NJ15123400) and her current practice location is
236 Renaissance Dr, Pine Hill, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(856) 625-4994.
NPI number for Lacondia Sundiata is 1437985462 and her current mailing address is 236 Renaissance Dr, Pine Hill, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437985462.
Provider's Profile
Full Name | Lacondia Sundiata |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 236 Renaissance Dr, Pine Hill, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437985462
- Provider Enumeration Date: 09/09/2024
- Last Update Date: 09/09/2024
Medical Identifiers
Medical identifiers for Lacondia Sundiata such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437985462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 26NJ15123400 (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. Lacondia Sundiata 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 Address | Practice Location Address |
Lacondia Sundiata, 236 Renaissance Dr, Pine Hill, NJ 08021-6450 Ph: (856) 625-4994 | Lacondia Sundiata, 236 Renaissance Dr, Pine Hill, NJ 08021-6450 Ph: (856) 625-4994 |
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