Individual provider Active NPI

Ijeamaka Emejuru

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerset, NJ
National Provider Identifier
1255568200
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ14985300 Issued in NJ
Practice address
220 Davidson Ave
Somerset, NJ 08873-4149
Phone
(732) 907-0709
NPI assigned
Jun 17, 2009
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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 26NJ14985300 NJ Primary

Addresses

Primary practice location

220 Davidson Ave
Somerset, NJ 08873-4149

Mailing address

46 Lake Park Dr
Piscataway, NJ 08854-5171
Phone (717) 710-7107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240109002878 NY Practitioner - Nurse Practitioner 0143671628 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14985300NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ra Psychiatric NP Services PLLC Single Specialty CurrentSince Feb 28, 2025 Accepting new patients
Sehwan Medical Care PLLC Single Specialty CurrentSince May 8, 2024 Accepting new patients
Riteway Psychiatry Services Psychiatric/Mental Health CurrentSince Mar 25, 2025 Accepting new patients
Greenleaf Nurse Practitioner in Psychiatry, PLLC Current Accepting new patients
Riteway Psychiatry Services Single Specialty CurrentSince Mar 11, 2025 Accepting new patients
Another Chance LLC PastSince Jan 1, 2025 Accepting new patients

Locations

1200 US Highway 22
Ste 2000
Bridgewater, NJ 08807
Phone (551) 239-8647

548 Throggs Neck Expy
Bronx, NY 10465
Phone (800) 632-7969

831 Bedford Ave
Brooklyn, NY 11205

45 Ludlow St
Ste 402
Yonkers, NY 10705
Phone (914) 457-3325

Organizations & group practices 6

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1255568200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 LAKE PARK DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545171",
            "telephone_number": "717-710-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 DAVIDSON AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734149",
            "telephone_number": "732-907-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMEJURU",
        "first_name": "IJEAMAKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14985300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.