Individual provider Active NPI

Amaka Akpunonu

  • Psychiatric/Mental Health Nurse Practitioner
  • Cinnaminson, NJ
National Provider Identifier
1306435284
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01132900 Issued in NJ
Practice address
101 Route 130 S Ste 520
Cinnaminson, NJ 08077-2844
Phone
(215) 868-4433
NPI assigned
Jan 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR13581100 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01132900 NJ Primary
Registered Nurse 163W00000X RN590523 PA

Addresses

Primary practice location

101 Route 130 S Ste 520
Cinnaminson, NJ 08077-2844

Mailing address

101 Route 130 S Ste 520
Cinnaminson, NJ 08077-2844
Phone (215) 868-4433

Other practice location 1

3444 Quakerbridge Rd
Trenton, NJ 08619-1204
Phone (609) 588-3826

Other practice location 2

108B Almatt Pl
Philadelphia, PA 19115-2744
Phone (215) 868-4433

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
I20220209002637 NJ Practitioner - Nurse Practitioner 2466845789 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
It Takes a FamilyGroup PAC ID 2365624608, 6 clinicians

Practice addresses (Care Compare)

100 Horizon Ctr Blvd
Hamilton, NJ 08691-1910
Phone (865) 925-9330

1104 Route 130 N
Suite K
Cinnaminson, NJ 08077-3032
Phone (609) 933-7044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NR13581100NJMDRegistered Nurse
RN590523PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
It Takes a Family CurrentSince Nov 9, 2021 Accepting new patients
Full of Grace Consulting Services LLC Psychiatric/Mental Health CurrentSince Mar 26, 2024 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Feb 14, 2025 Accepting new patients
Reliance Medical Group LLC PastSince Mar 12, 2023 Accepting new patients

Locations

1104 Route 130 N
Ste K
Cinnaminson, NJ 08077
Phone (609) 933-7044

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

100 Horizon Center Blvd
Ste 100
Robbinsville, NJ 08691
Phone (267) 563-8396

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

1200 Laurel Oak Rd
Ste 102
Voorhees, NJ 08043
Phone (856) 454-5100

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.

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1306435284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROUTE 130 S STE 520",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772844",
            "telephone_number": "215-868-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROUTE 130 S STE 520",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772844",
            "telephone_number": "215-868-4433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3444 Quakerbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086191204",
            "country_code": "US",
            "telephone_number": "609-588-3826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108B Almatt Pl",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191152744",
            "country_code": "US",
            "telephone_number": "215-868-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKPUNONU",
        "first_name": "AMAKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR13581100",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01132900",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN590523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

Verify at the official NPI Registry.