Jennifer Akunna Ihedioha, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

407206 Issued in NY

Practice address

19 Union SQ W FL 7
New York, NY 10003-3304

Phone

(212) 627-9600

Fax

(718) 797-1115

NPI assigned

Feb 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Columbia University College of Physicians and Surgeons, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Realization Center IncGroup PAC ID 0749598050, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Realization Center, Inc.

  • Clinic/Center
  • New York, NY
  • NPI 1699827345
  Medicare reassignment Care Compare group NPD
• Lauter Medical PLLC

  • Psychiatry Physician
  • New York, NY
  • NPI 1548149990
  Medicare reassignment
• Elmcor Youth & Adult Activities Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Corona, NY
  • NPI 1609909910
  NPD
• Elmcor Youth and Adult Activities

  • Substance Abuse Rehabilitation Facility
  • Corona, NY
  • NPI 1174994305
  NPD (past)
• Realization Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1972932465
  NPD (past)

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1487418042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 UNION SQ W FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033304",
            "telephone_number": "212-627-9600",
            "fax_number": "718-797-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 UNION SQ W FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033304",
            "telephone_number": "212-627-9600",
            "fax_number": "718-797-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEDIOHA",
        "first_name": "JENNIFER",
        "middle_name": "AKUNNA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Iheart Health and Wellness
• Chioma Venessa Iheaturu, MSW
• Mary Valentine Ihemembi, RN
• Gertrude L Ihenacho, P.A.
• Mia Ann Ihm, PH.D.
• Ihotu Medicine PC
• Ihsan Nurah Counseling & Mental Health Services LLC

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.