Individual provider Active NPI

Gladiette Nkiru, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Livingston, NJ
National Provider Identifier
1083020010
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00437700 Issued in NJ
Practice address
5 Regent St
Suite 517
Livingston, NJ 07039-1675
Phone
(973) 994-1011
Fax
(973) 994-1220
NPI assigned
Jul 10, 2014
Last updated
Jul 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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 26NJ00437700 NJ Primary

Addresses

Primary practice location

5 Regent St
Suite 517
Livingston, NJ 07039-1675

Mailing address

10 Finderne Ave
FL 3
Bridgewater, NJ 08807-3365
Phone (908) 526-8370

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150810002445 NJ Practitioner - Nurse Practitioner 6103131826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

671 Hoes LN
Piscataway, NJ 08854-8021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Behavioral Care LLC CurrentSince Aug 1, 2018 Accepting new patients
Rutgers Health - Behavioral Health CurrentSince Jun 29, 2015 Accepting new patients
Jersey Behavioral Care LLC CurrentSince Aug 1, 2018 Accepting new patients
Rutgers Health - Behavioral Health Current Accepting new patients
Access Center Behavioral Health Network PC Past Accepting new patients

Locations

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

220 Davidson Ave
Ste 306
Somerset, NJ 08873
Phone (732) 997-0707

Interoperability endpoints

  • Direct secure messaging: gnkiru386317@epicdirect.rwjbh.org

Organizations & group practices 5

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1083020010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FINDERNE AVE",
            "address_2": "FL 3",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073365",
            "telephone_number": "908-526-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REGENT ST",
            "address_2": "SUITE 517",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391675",
            "telephone_number": "973-994-1011",
            "fax_number": "973-994-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKIRU",
        "first_name": "GLADIETTE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00437700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.