Individual provider Active NPI

Paul Nwambu, MA, MFT

  • Marriage & Family Therapist
  • Madison, NJ
National Provider Identifier
1013746593
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37FA00031800
Practice address
37 Kings Rd Ste 205
Madison, NJ 07940-2500
Phone
(862) 226-7285
NPI assigned
Jul 31, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FA00031800 Primary

Addresses

Primary practice location

37 Kings Rd Ste 205
Madison, NJ 07940-2500

Mailing address

76 Heritage LN
Hamburg, NJ 07419-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth R Johannes PHD CurrentSince Aug 4, 2024 Accepting new patients

Locations

37 Kings Rd
Ste 205
Madison, NJ 07940
Phone (862) 226-7285

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1013746593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 HERITAGE LN",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074191330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 KINGS RD STE 205",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402500",
            "telephone_number": "862-226-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAMBU",
        "first_name": "PAUL",
        "credential": "MA, MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "37FA00031800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.