Individual provider Active NPI

Augustina Chidinma Ike, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Union, NJ
National Provider Identifier
1235875162
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01306400 Issued in NJ
Practice address
1710 Edward Ter
Union, NJ 07083-5106
Phone
(201) 790-4587
NPI assigned
May 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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 26NJ01306400 NJ Primary

Addresses

Primary practice location

1710 Edward Ter
Union, NJ 07083-5106

Mailing address

1710 Edward Ter
Union, NJ 07083-5106
Phone (201) 790-4587

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
I20221219000890 NJ Practitioner - Nurse Practitioner 2769851559 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
True Care Mental Health Clinic LLCGroup PAC ID 5395152300, 2 clinicians
Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

1710 Edward Ter
Union, NJ 07083-5106
Phone (201) 790-4587

1710 Edward Terrace
Union, NJ 07083-5106

570 N Broad St
Suite 3
Elizabeth, NJ 07208-4301
Phone (888) 500-9661

765 Route 70 E
BLDG a
Marlton, NJ 08053-2341
Phone (856) 983-3900

Hospital & facility affiliations

  • Saint Michael'S Medical Center Hospital, Newark, NJ, CCN 310096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01306400NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Guidance, PC Psychiatric/Mental Health CurrentSince Nov 1, 2022 Accepting new patients
NJ Memory and Behavioral Care CurrentSince Mar 15, 2023 Accepting new patients
True Care Mental Health Clinic LLC CurrentSince Jun 23, 2025 Accepting new patients
Bethel Behavioral Healthcare LLC Psychiatric/Mental Health CurrentSince Apr 2, 2024 Accepting new patients

Locations

333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500

14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335

570 N Broad St
Ste 3
Elizabeth, NJ 07208
Phone (888) 500-9661

765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

Interoperability endpoints

  • Direct secure messaging: augustina.ike.p1@direct.cfg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1235875162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 EDWARD TER",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835106",
            "telephone_number": "201-790-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 EDWARD TER",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835106",
            "telephone_number": "201-790-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKE",
        "first_name": "AUGUSTINA",
        "middle_name": "CHIDINMA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01306400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.