Individual provider Active NPI

Nneka Nwafor

  • Nurse Practitioner
  • Union, NJ
National Provider Identifier
1174340418
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15154500 Issued in NJ
Practice address
2754 Linwood Rd
Union, NJ 07083-4147
Phone
(973) 444-1199
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15154500 NJ Primary

Addresses

Primary practice location

2754 Linwood Rd
Union, NJ 07083-4147

Mailing address

2754 Linwood Rd
Union, NJ 07083-4147
Phone (973) 444-1199

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
I20260213001453 NJ Practitioner - Nurse Practitioner 3274013818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Skyview Health Services LLCGroup PAC ID 7214388339, 2 clinicians

Practice addresses (Care Compare)

2040 Millburn Ave
Maplewood, NJ 07040-3716
Phone (973) 996-2078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15154500NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skyview Health Services LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

2040 Millburn Ave
Ste 206
Maplewood, NJ 07040
Phone (973) 996-2078

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1174340418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 LINWOOD RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834147",
            "telephone_number": "973-444-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2754 LINWOOD RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834147",
            "telephone_number": "973-444-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAFOR",
        "first_name": "NNEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15154500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.