Individual provider Active NPI

Prisca Ugochi Ogbonnaya, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Union, NJ
National Provider Identifier
1164140083
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01323200 Issued in NJ
Practice address
983 Townley Ave
Union, NJ 07083-7562
Phone
(973) 634-3651
NPI assigned
Aug 16, 2022
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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 26NJ01323200 NJ Primary

Addresses

Primary practice location

983 Townley Ave
Union, NJ 07083-7562

Mailing address

983 Townley Ave
Union, NJ 07083-7562
Phone (973) 634-3651

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
I20231218000376 NJ Practitioner - Nurse Practitioner 6204285117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Irvington Counseling Center, Inc.Group PAC ID 8921137274, 3 clinicians

Practice addresses (Care Compare)

21 -29 Wagner Place
Irvington, NJ 07111-1861
Phone (973) 399-3132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01323200NJMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: prisca.ogbonnayaapn.p1@direct.cfg.nextgenshare.com

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, 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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1164140083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 TOWNLEY AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837562",
            "telephone_number": "973-634-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 TOWNLEY AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837562",
            "telephone_number": "973-634-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBONNAYA",
        "first_name": "PRISCA",
        "middle_name": "UGOCHI",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01323200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.