Individual ProviderMichelle EjioforNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Somerset St, New Brunswick, NJ 08901-1942(732) 258-7065PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Ejiofor does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1215718150Provider TypeIndividualFull NameEjiofor, MichelleTitleDr.CredentialDNP, FNPGenderFemaleSole ProprietorNoEnumeration Date10/6/2023Last Updated11/29/2023Contact InformationPractice LocationPractice Address200 Somerset St, New Brunswick, NJ 08901-1942Phone(732) 258-7065FaxUnlisted FaxMailing LocationMailing Address1769 Wolbert Ter, Union, NJ 07083-5121PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense2023088267New Jersey