Individual provider Active NPI

Edith Anyanwu, MSN, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sicklerville, NJ
National Provider Identifier
1457212920
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15472300 Issued in NJ
Practice address
37 Mayflower Dr
Sicklerville, NJ 08081-4120
Phone
(856) 278-4491
NPI assigned
Nov 24, 2025
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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 26NJ15472300 NJ Primary

Addresses

Primary practice location

37 Mayflower Dr
Sicklerville, NJ 08081-4120

Mailing address

37 Mayflower Dr
Sicklerville, NJ 08081-4120
Phone (856) 278-4491

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
I20260120002581 NJ Practitioner - Nurse Practitioner 9830676097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omega Physicians LLCGroup PAC ID 2567869662, 7 clinicians

Practice addresses (Care Compare)

103 Old Marlton Pike
Suite 124
Medford, NJ 08055-8772
Phone (888) 575-9162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ15472300NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omega Physicians LLC Psychiatric/Mental Health CurrentSince Dec 10, 2025 Accepting new patients

Locations

76 W Jimmie Leeds Rd
Ste A
Galloway, NJ 08205
Phone (856) 387-0500

103 Old Marlton Pike
Ste 124
Medford, NJ 08055
Phone (856) 387-0500

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": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1457212920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MAYFLOWER DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814120",
            "telephone_number": "856-278-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MAYFLOWER DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814120",
            "telephone_number": "856-278-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYANWU",
        "first_name": "EDITH",
        "credential": "MSN, RN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15472300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

Verify at the official NPI Registry.