Pauline Ekeh

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ0121100 Issued in NJ

Practice address

131 Pudding Stone Way
Phillipsburg, NJ 08865-2070

Phone

(908) 361-7498

NPI assigned

Jan 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Pauline Ekeh Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Reviving Life Mental Health Services LLC

  • Psychiatric/Mental Health Registered Nurse
  • Phillipsburg, NJ
  • NPI 1669259735
  Medicare reassignment NPD Authorized official
• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Cherry Hill, NJ
  • NPI 1891956298
  Medicare reassignment

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1033860234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PUDDING STONE WAY",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652070",
            "telephone_number": "908-361-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PUDDING STONE WAY",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652070",
            "telephone_number": "908-361-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKEH",
        "first_name": "PAULINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ0121100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULINE",
            "last_name": "EKEH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Easton Cardiovascular Assoc., PC
• Easton Orthopaedic Group
• Easton Warren Urology P.a.
• Veronica Jean Eggleston
• Isaiah Ogba Junior Eke, MD
• Kelechi Ekekwe
• Michael Ekekwe
• Stella Ekekwe
• Elite Vision Eye Associates LLC (Elite Vision Eye Associates)
• Chibuzo U Emenari, MD

• Psychiatric/Mental Health Nurse Practitioner in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.