Individual provider Active NPI

Nneka Mbadiwe, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1467992891
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405854 Issued in NY
Practice address
3336 Fulton St Unit 29
Brooklyn, NY 11208-2004
Phone
(646) 347-6935
NPI assigned
Mar 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95030792 CA
Registered Nurse 163W00000X 2342300 MN
Registered Nurse 163W00000X 1035788 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9352475 FL
Adult Health Nurse Practitioner 363LA2200X F309721-01 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405854 NY Primary

Addresses

Primary practice location

3336 Fulton St Unit 29
Brooklyn, NY 11208-2004

Mailing address

190 E 206TH St Apt 5C
Bronx, NY 10458-1114
Phone (302) 521-6128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230306001406 NY Practitioner - Nurse Practitioner 8527430875 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY
I20240826004240 FL Practitioner - Nurse Practitioner 8527430875 Practice locations: St Petersburg, FL
I20250906000989 NM Practitioner - Nurse Practitioner 8527430875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida Atlantic University, College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1209 Mountain Rd PL NE
Albuquerque, NM 87110

1209 Mountain Rd PL NE
Albuquerque, NM 87110-7845

42 Broadway
New York, NY 10004-1659

Merit-based Incentive Payment System (MIPS)

Final score
87.65 of 100Reported as group
Quality
71.56
Promoting interoperability
74
Improvement activities
40
Cost
87.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1035788DCMDRegistered Nurse
2342300MNMDRegistered Nurse
309721NYMDLicensed Practical Nurse
F309721-01NYMDAdult Health Nurse Practitioner
95030792CAMDFamily Nurse Practitioner
9352475FLMDPsychiatric/Mental Health Nurse Practitioner
405854NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc CurrentSince May 15, 2023 Accepting new patients
Serenity NP in Psychiatry Services PLLC Psychiatric/Mental Health CurrentSince Dec 4, 2024 Accepting new patients
Catholic Charities Neighborhood Services, Inc. CurrentSince Feb 22, 2023 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Psychiatric/Mental Health CurrentSince May 15, 2023 Accepting new patients
Serenity Telehealth LLC Psychiatric/Mental Health CurrentSince Jul 14, 2025 Accepting new patients
Catholic Charities Neigborhood Services Past Accepting new patients

Locations

1209 Mountain Road Pl NE
Ste N
Albuquerque, NM 87110
Phone (505) 295-3110

150 Central Park Sq
Ste 55
Los Alamos, NM 87544

3336 Fulton St
Brooklyn, NY 11208
Phone (415) 335-9552

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

191 Joralemon St
Fl 11
Brooklyn, NY 11201

1623 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 377-5755

6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001

9114 37th Ave
Jackson Heights, NY 11372
Phone (718) 722-6001

1765 South Ave
Staten Island, NY 10314
Phone (718) 982-6982

Interoperability endpoints

  • Direct secure messaging: nmbadiwe1267782@nychhc.direct-ci.com

Organizations & group practices 6

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": "1488672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1467992891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E 206TH ST APT 5C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581114",
            "telephone_number": "302-521-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 FULTON ST UNIT 29",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082004",
            "telephone_number": "646-347-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBADIWE",
        "first_name": "NNEKA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-05",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95030792",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2342300",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "1035788",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9352475",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309721-01",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.