Active NPI
Nneka Mbadiwe, NP
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 405854
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1035788 | DC | MD | Registered Nurse |
| 2342300 | MN | MD | Registered Nurse |
| 309721 | NY | MD | Licensed Practical Nurse |
| F309721-01 | NY | MD | Adult Health Nurse Practitioner |
| 95030792 | CA | MD | Family Nurse Practitioner |
| 9352475 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 405854 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Board of Family & Childrens Services Inc | Current | Accepting new patients | |
| Serenity NP in Psychiatry Services PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Catholic Charities Neighborhood Services, Inc. | Current | Accepting new patients | |
| Jewish Board of Family and Children'S Services, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Serenity Telehealth LLC | Psychiatric/Mental Health | Current | 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
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1487470340
-
- Psychiatric/Mental Health Nurse Practitioner
- Albuquerque, NM
- NPI 1902698160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1548373921
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1689755662
-
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
- NPI 1760173579
Psychiatric/Mental Health
-
- Clinical Social Worker
- Glendale, NY
- NPI 1881910131
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.