Individual provider Active NPI

Ulanda Marcus-Aiyeku, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wall Township, NJ
National Provider Identifier
1326637174
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01090500 Issued in NJ
Practice address
1350 Campus Pkwy
Wall Township, NJ 07753-6821
Phone
(917) 825-9698
NPI assigned
Jan 15, 2021
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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 26NJ01090500 NJ Primary

Addresses

Primary practice location

1350 Campus Pkwy
Wall Township, NJ 07753-6821

Mailing address

3 Sheffield Dr
Manalapan, NJ 07726-3618
Phone (917) 825-9698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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
I20210506002433 NJ Practitioner - Nurse Practitioner 3779992540 Reassigns benefits to 3 organizations
I20220427000928 NY Practitioner - Nurse Practitioner 3779992540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JLS Medical PCGroup PAC ID 7719342005, 53 clinicians
Middlesex Psychiatry and TMS PCGroup PAC ID 7315334000, 41 clinicians

Practice addresses (Care Compare)

36 Washington St
Suite 1 Mywellbrook Health
Toms River, NJ 08753-7667
Phone (201) 822-1161

777 Route 70 E
Suite G101
Marlton, NJ 08053-2548
Phone (856) 818-4020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Psychiatry & TMS PC CurrentSince Oct 21, 2023 Accepting new patients
JLS Medical PC Psychiatric/Mental Health CurrentSince Nov 13, 2025 Accepting new patients
Valera Medical, P.a. Psychiatric/Mental Health CurrentSince Jan 1, 2022 Accepting new patients
Valera Medical, P.C. Psychiatric/Mental Health CurrentSince Apr 1, 2022 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation Past Accepting new patients

Locations

165 Passaic Ave
Ste 200
Fairfield, NJ 07004
Phone (800) 413-8020

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

777 Route 70 E
Ste G101
Marlton, NJ 08053
Phone (856) 818-4020

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

36 Washington St
Ste 1
Toms River, NJ 08753
Phone (201) 942-5099

134 N 4th St
Brooklyn, NY 11249

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

Organizations & group practices 5

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": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1326637174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SHEFFIELD DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263618",
            "telephone_number": "917-825-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CAMPUS PKWY",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077536821",
            "telephone_number": "917-825-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS-AIYEKU",
        "first_name": "ULANDA",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01090500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

Verify at the official NPI Registry.