Individual provider Active NPI

Esther Chidinma Onwu

  • Psychiatric/Mental Health Nurse Practitioner
  • Burlington, NJ
National Provider Identifier
1063087385
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01153700 Issued in NJ
Practice address
513 High Street
Burlington, NJ 08016-2037
Phone
(609) 386-0650
NPI assigned
May 20, 2021
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01153700 NJ Primary

Addresses

Primary practice location

513 High Street
Burlington, NJ 08016-2037

Mailing address

513 High St
Burlington, NJ 08016-4503
Phone (609) 386-0650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210917000790 NJ Practitioner - Nurse Practitioner 7416354410 Reassigns benefits to 2 organizations
I20230913000330 TX Practitioner - Nurse Practitioner 7416354410 Reassigns benefits to 1 organization
I20250416000473 NY Practitioner - Nurse Practitioner 7416354410 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stable Community Services CurrentSince Jul 28, 2021 Accepting new patients
Kairos Care Connection LLC Psychiatric/Mental Health CurrentSince Jan 30, 2022 Accepting new patients
Stable Community Services PastSince Jul 28, 2021 Accepting new patients

Locations

513 High St
Burlington City, NJ 08016
Phone (609) 386-0650

1301 E Debbie Ln
Ste 102
Mansfield, TX 76063
Phone (682) 297-6203

Interoperability endpoints

  • Direct secure messaging: esther.onwu.p1@direct.cfg.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1063087385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 HIGH ST",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164503",
            "telephone_number": "609-386-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 HIGH STREET",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162037",
            "telephone_number": "609-386-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWU",
        "first_name": "ESTHER",
        "middle_name": "CHIDINMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01153700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

Verify at the official NPI Registry.