Benneth Ifeyanyi Mekoba, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ14895300 Issued in NJ

Practice address

586 Woodside Ave
Roselle, NJ 07203-2934

Phone

(908) 606-8434

Fax

(908) 520-4325

NPI assigned

Sep 1, 2023

Last updated

Oct 9, 2026By the provider in NPPES

Sex

Male

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Newark Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1740345693
  Medicare reassignment
• Bee Meek Psychiatric Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Roselle, NJ
  • NPI 1639074818
  Authorized official Same address or phone
• Jorge D Quintana MD

  dba Quintana Psychiatric Care

  • Behavior Analyst
  • Linden, NJ
  • NPI 1124421268

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1205612678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 WOODSIDE AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "07203",
            "telephone_number": "973-495-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 WOODSIDE AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032934",
            "telephone_number": "908-606-8434",
            "fax_number": "908-520-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKOBA",
        "first_name": "BENNETH",
        "middle_name": "IFEYANYI",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-01",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14895300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Roots and Wings Social Emotional Learning LLC
• Stuart Martin Lonsk, O.D.
• Jiajun Lu, RPH
• Yamiry Marrero
• Christian McLean, COTA
• Liya Melkadze, MS PT
• Mercy Associates LLC
• Sharon Merritt
• Mindscope Medicine
• Arlene N Mitchell, MSW, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Roselle, NJ
• Providers in Roselle, 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 Oct 9, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.