Stella Ijeoma Nwachukwu I

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01483900 Issued in NJ

Practice address

813 Irvington Ave
Hillside, NJ 07205-3105

Phone

(973) 444-8636

NPI assigned

May 23, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Gracious Angels Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hillside, NJ
  • NPI 1962229203
  Medicare reassignment NPD Authorized official
• Bridgecare Provider Group LLC

  • Primary Care Nurse Practitioner
  • Wayne, NJ
  • NPI 1164148672
  Medicare reassignment NPD
• Elderology, LLC

  • Clinical Social Worker
  • Fanwood, NJ
  • NPI 1790931269
  Medicare reassignment NPD
• Stress Care of New Jersey, LLC

  • Community/Behavioral Health Agency
  • Matawan, NJ
  • NPI 1033433834
  Medicare reassignment NPD
• Stress Care of New Jersey, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Somerset, NJ
  • NPI 1982345567
  NPD

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": "1336831718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 IRVINGTON AVENUE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "07205",
            "telephone_number": "973-444-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 IRVINGTON AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072053105",
            "telephone_number": "973-444-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWACHUKWU",
        "first_name": "STELLA",
        "middle_name": "IJEOMA",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "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": "26NJ01483900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newark Renal Centers, LLC
• Newlife Healthcare LLC
• NJ Social Services LLC
• NJ Vision Care LLC
• North American Life Sciences, LLC
• Tiffany Nwako
• Precious 134-04-9109 Nwigwe
• Sabina Nwokoro
• Oak Dynamic Healthcare
• Oak Dynamic Healthcare

• Psychiatric/Mental Health Nurse Practitioner in Hillside, NJ
• Providers in Hillside, 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 May 23, 2023; 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.