Mary Wummi Egbeh

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15179300 Issued in NJ

Practice address

2056 Indian Dr
Vineland, NJ 08361-6411

Phone

(856) 899-8944

NPI assigned

Mar 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mary Wummi Joshua Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Majesty Healthcare Services LLC

  • Home Health Agency
  • Vineland, NJ
  • NPI 1417637620
  NPD Authorized official
• Mana Christian Family Therapy Inc.

  • Marriage & Family Therapist
  • Sacramento, CA
  • NPI 1548832769
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1487289906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 INDIAN DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083616411",
            "telephone_number": "856-899-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 INDIAN DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083616411",
            "telephone_number": "856-899-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBEH",
        "first_name": "MARY",
        "middle_name": "WUMMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NJ",
            "license": "26NR216587",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15179300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "http",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2056 Indian Dr",
            "city": "Vineland",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "083616411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "JOSHUA",
            "middle_name": "WUMMI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Taylor Ann Ebling, PA-C
• Eckerd Corporation
• Eckerd Corporation
• Eckerd Corporation
• Destiny Edwards
• Richard S Ehrlichman, M.D.
• Haley Elias
• Gina Elie
• Victoria Eligulashvili, MD
• Neely Elisha, D.O.

• Family Nurse Practitioner in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.