Udoka Jeremiah Ejiofor, PH.D., MSN, PMHNP.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00374300 Issued in NJ

Practice address

134 Evergreen PL
East Orange, NJ 07018-2011

Phone

(862) 233-2133

NPI assigned

Jun 3, 2012

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Science - Nursing, Nurse Practitioner, Doctor of Philosophy

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.

• Luminous Cares, LLC

  • Adult Mental Health Clinic/Center
  • East Orange, NJ
  • NPI 1982024790
  Medicare reassignment Authorized official
• First Call Ambulance Inc

  • Ambulance
  • Jersey City, NJ
  • NPI 1336439710
  NPD (past)
• Greater Trenton CMHC Inc.

  dba Greater Trenton Behavioral HealthCare

  • Community/Behavioral Health Agency
  • Trenton, NJ
  • NPI 1336217421
  NPD (past)

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

{
    "created_epoch": "1338681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1295096584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182011",
            "telephone_number": "862-233-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182011",
            "telephone_number": "862-233-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJIOFOR",
        "first_name": "UDOKA",
        "middle_name": "JEREMIAH",
        "name_prefix": "Dr.",
        "credential": "PH.D., MSN, PMHNP.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-03",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401462-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00374300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherly Edouard -Joseph, COMMUNITY DOULA
• Chukwudera Egesionu, LPC
• Chinello Egwuonwu, RN, CCM, NP
• Fizzah Ehsan, PA-C
• Obiamaka C Ejike, R.PH
• Assumpta Ekeh
• Ekwy Josephine Ekeh
• Sayed Mohamed El-Hely, P.T.
• Elder Excellence L.L.C.
• Stacie Elfo, MSW LSW

• Psychiatric/Mental Health Nurse Practitioner in East Orange, NJ
• Providers in East Orange, 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 Sep 16, 2024; 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.