Corine Iwuala

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01276000 Issued in NJ

Practice address

97 Mayfair Dr
West Orange, NJ 07052-2210

Phone

(973) 866-5350

Fax

(973) 381-1634

NPI assigned

Mar 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26749/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: corine.iwuala.p1@direct.cfg.nextgenshare.com

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.

• Center for Family Guidance, PC

  • Geriatric Psychiatry Physician
  • Marlton, NJ
  • NPI 1508803388

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Global Health Resources and Referral Services Inc

  • Addiction (Substance Use Disorder) Counselor
  • West Orange, NJ
  • NPI 1144976788
  Medicare reassignment NPD
• Insite Medical NJ PA

  • Behavioral Neurology & Neuropsychiatry Physician
  • Marlton, NJ
  • NPI 1538807011

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Insite Medical NJ PA

  • Adolescent and Children Mental Health Clinic/Center
  • Marlton, NJ
  • NPI 1518716570
  NPD (past)

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1063168847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 MAYFAIR DR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 MAYFAIR DR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522210",
            "telephone_number": "973-866-5350",
            "fax_number": "973-381-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWUALA",
        "first_name": "CORINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01276000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira M Sonet DMD, PA.
• Isaac Kramer, MD, P.C.
• Michelle Itidiare
• Kristin Marie Iturbides, MS CCC-SLP
• Robert A Ivker, DO
• Joycelene Iwuala
• Jack Gold Surgical Appliances, Inc. (AlliedOP)
• Marianne Jacob
• Sonia Jacob
• Tess Jacob, M.D

• Psychiatric/Mental Health Nurse Practitioner in West Orange, NJ
• Providers in West Orange, 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 Mar 1, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.