Individual provider Active NPI

Ugochi Chiazom Ekemezie, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceville, NJ
National Provider Identifier
1235539420
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00477900 Issued in NJ
Practice address
2550 US Highway 1
Lawrenceville, NJ 08609-1821
Phone
(609) 396-8877
NPI assigned
Aug 26, 2014
Last updated
Aug 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 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 26NJ00477900 NJ Primary

Addresses

Primary practice location

2550 US Highway 1
Lawrenceville, NJ 08609-1821

Mailing address

113 S Johnston Ave
Hamilton, NJ 08609-1821
Phone (609) 510-2334

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
I20141030000910 NJ Practitioner - Nurse Practitioner 9436370707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Oaks Integrated CareGroup PAC ID 6709961857, 32 clinicians

Practice addresses (Care Compare)

100 Horizon Ctr Blvd
Hamilton, NJ 08691-1910
Phone (609) 401-0069

770 Woodlane Rd
Westampton, NJ 08060-3804
Phone (609) 267-5928

79 Chestnut St
Lumberton, NJ 08048-1134
Phone (609) 518-5470

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oaks Integrated Care CurrentSince Jul 1, 2015 Accepting new patients
Zion Healthcare Services LLC Psychiatric/Mental Health CurrentSince Mar 1, 2025 Accepting new patients

Locations

79 Chestnut St
Lumberton, NJ 08048
Phone (609) 518-5470

100 Horizon Center Blvd
Trenton, NJ 08691
Phone (609) 401-0069

2550 US Highway 1
Trenton, NJ 08648
Phone (609) 396-8877

770 Woodlane Rd
Westampton, NJ 08060
Phone (606) 267-5928

Organizations & group practices 2

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": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1235539420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S JOHNSTON AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086091821",
            "telephone_number": "609-510-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 US HIGHWAY 1",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086091821",
            "telephone_number": "609-396-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKEMEZIE",
        "first_name": "UGOCHI",
        "middle_name": "CHIAZOM",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00477900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.