Individual provider Active NPI

Amaka Ikemefuna, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Iselin, NJ
National Provider Identifier
1356713747
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00596200 Issued in NJ
Practice address
33 Wood Ave S Ste 600
Iselin, NJ 08830-2717
Phone
(973) 207-7676
NPI assigned
Oct 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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 26NJ00596200 NJ Primary

Addresses

Primary practice location

33 Wood Ave S Ste 600
Iselin, NJ 08830-2717

Mailing address

33 Wood Ave S Ste 600
Iselin, NJ 08830-2717
Phone (732) 986-4841

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
I20151117002886 NJ Practitioner - Nurse Practitioner 8224348511 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nynj Psychiatric Associates LLCGroup PAC ID 2961689989, 38 clinicians

Practice addresses (Care Compare)

33 Wood Ave S
Suite 600
Iselin, NJ 08830-2717
Phone (732) 986-4841

51 JFK Pkwy
Short Hills, NJ 07078-2704
Phone (917) 582-6622

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
74.82
Improvement activities
40
Cost
71.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology & Counseling Associates, LLC CurrentSince Jan 15, 2017 Accepting new patients
Nji Healthcare Services Psychiatric/Mental Health CurrentSince Dec 10, 2021 Accepting new patients
Nynj Psychiatric Associates LLC CurrentSince Nov 1, 2020 Accepting new patients
True Care Mental Health Clinic LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

1683 Route 88 W
Ste A
Brick, NJ 08724
Phone (732) 840-5266

570 N Broad St
Ste 3
Elizabeth, NJ 07208
Phone (888) 500-9661

33 Wood Ave S
Ste 600
Iselin, NJ 08830
Phone (732) 762-6557

395 Grand St
Jersey City, NJ 07302
Phone (201) 915-2600

9 W Broadway
#2
Paterson, NJ 07505
Phone (973) 214-0670

9 W Broadway
Paterson, NJ 07505
Phone (973) 345-1883

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": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1356713747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WOOD AVE S STE 600",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302717",
            "telephone_number": "732-986-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WOOD AVE S STE 600",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302717",
            "telephone_number": "973-207-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEMEFUNA",
        "first_name": "AMAKA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00596200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.