Individual provider Active NPI

Assumpta Ekeh

  • Psychiatric/Mental Health Nurse Practitioner
  • East Orange, NJ
National Provider Identifier
1437973013
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15177000 Issued in NJ
Practice address
45 N Arlington Ave
East Orange, NJ 07017-4103
Phone
(973) 414-9222
NPI assigned
Nov 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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 26NJ15177000 NJ Primary

Addresses

Primary practice location

45 N Arlington Ave
East Orange, NJ 07017-4103

Mailing address

2531 Jackson Ave
Union, NJ 07083-3926
Phone (908) 591-1001

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
I20250605001090 NJ Practitioner - Nurse Practitioner 4284143785 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15177000NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Behavioral Health Services LLC Psychiatric/Mental Health CurrentSince May 1, 2025 Accepting new patients

Locations

2003 Morris Ave
Ste 1A
Union, NJ 07083
Phone (862) 203-8277

Organizations & group practices 1

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": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1437973013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 JACKSON AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833926",
            "telephone_number": "908-591-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N ARLINGTON AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070174103",
            "telephone_number": "973-414-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKEH",
        "first_name": "ASSUMPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15177000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.