Individual provider Active NPI

Ikenna Anyanwu, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cranford, NJ
National Provider Identifier
1386409407
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15006000 Issued in NJ
Practice address
20 Commerce Dr Ste 135
Cranford, NJ 07016-3614
Phone
(908) 916-3582
Fax
(908) 605-4972
NPI assigned
Feb 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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 26NJ15006000 NJ Primary

Addresses

Primary practice location

20 Commerce Dr Ste 135
Cranford, NJ 07016-3614

Mailing address

20 Commerce Dr Ste 135
Cranford, NJ 07016-3614
Phone (908) 916-3582

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
I20250417001165 NJ Practitioner - Nurse Practitioner 3971028408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Insite Medical NJ PAGroup PAC ID 8022487743, 8 clinicians

Practice addresses (Care Compare)

525 Route 73 N
Suite 302
Marlton, NJ 08053-3422
Phone (833) 494-6724

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Insite Medical NJ PA Psychiatric/Mental Health CurrentSince Mar 1, 2025 Accepting new patients
Peacepoint Behavioral Health Psychiatric/Mental Health CurrentSince Aug 24, 2025 Accepting new patients
Insite Medical NJ PA CurrentSince Mar 1, 2025 Accepting new patients
Sunrise Behavioral Health Services LLC CurrentSince Feb 25, 2024 Accepting new patients

Locations

2 Split Rock Dr
Ste 5
Cherry Hill, NJ 08003
Phone (833) 494-6724

20 Commerce Dr
Ste 135
Cranford, NJ 07016
Phone (908) 449-0441

525 Route 73 N
Ste 302
Marlton, NJ 08053
Phone (833) 464-6724

11 Dundar Rd
Ste 105
Springfield, NJ 07081
Phone (908) 822-9099

11 Dundar Rd
Springfield, NJ 07081
Phone (866) 369-1090

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26749/brand/1/csg/1/fhir/r4

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1386409407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMERCE DR STE 135",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163614",
            "telephone_number": "908-916-3582",
            "fax_number": "908-605-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMERCE DR STE 135",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163614",
            "telephone_number": "908-916-3582",
            "fax_number": "908-605-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYANWU",
        "first_name": "IKENNA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15006000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

Verify at the official NPI Registry.