Individual provider Active NPI

Pius Chukwudi Efobi

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Branch, NJ
National Provider Identifier
1306538707
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01465600 Issued in NJ
Practice address
474 Westbourne Ave
Long Branch, NJ 07740-5527
Phone
(732) 841-5530
NPI assigned
May 23, 2023
Last updated
May 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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 26NJ01465600 NJ Primary

Addresses

Primary practice location

474 Westbourne Ave
Long Branch, NJ 07740-5527

Mailing address

474 Westbourne Ave
Long Branch, NJ 07740-5527
Phone (732) 841-5530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231114000421 NJ Practitioner - Nurse Practitioner 4385091396 Reassigns benefits to 2 organizations
I20241220001954 TX Practitioner - Nurse Practitioner 4385091396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

700 Airport Rd
Lakewood, NJ 08701-5907
Phone (732) 367-4700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Psychiatry NJ PC CurrentSince Feb 28, 2025 Accepting new patients
Modern Psychiatry, PA CurrentSince Nov 1, 2024 Accepting new patients
Preferred Behavioral Health of New Jersey, Inc. Current Accepting new patients
Preferred Behavioral Health of New Jersey, Inc. CurrentSince Oct 20, 2023 Accepting new patients
Preferred Behavioral Health of New Jersey, Inc CurrentSince Oct 20, 2023 Accepting new patients
Tears to Cheers Handwriting Clinic, LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

700 Airport Rd
Lakewood, NJ 08701
Phone (732) 458-1700

20 Hospital Dr
Ste 4
Toms River, NJ 08755
Phone (732) 286-0222

40 Bey Lea Rd
Ste C101
Toms River, NJ 08753
Phone (732) 557-5574

8355 Walnut Hill Ln
Ste 225A
Dallas, TX 75231
Phone (346) 336-2265

24721 State Highway 249
Tomball, TX 77375
Phone (281) 205-3681

Organizations & group practices 7

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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1306538707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 WESTBOURNE AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405527",
            "telephone_number": "732-841-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 WESTBOURNE AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405527",
            "telephone_number": "732-841-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFOBI",
        "first_name": "PIUS",
        "middle_name": "CHUKWUDI",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01465600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.