Individual provider Active NPI

Uloma Nzeduru, DNP PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Union, NJ
National Provider Identifier
1508638941
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15136700 Issued in NJ
Practice address
540 North Ave Ste 4
Union, NJ 07083-7149
Phone
(973) 606-0685
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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 26NJ15136700 NJ Primary

Addresses

Primary practice location

540 North Ave Ste 4
Union, NJ 07083-7149

Mailing address

571 Pleasant Valley Way
West Orange, NJ 07052-2806
Phone (973) 606-0685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15136700NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Mental Health Services LLC Independent Clinic CurrentSince Sep 15, 2024 Accepting new patients
Family Mental Health Services LLC Psychiatric/Mental Health CurrentSince Sep 15, 2024 Accepting new patients
Center for Mental Health Psychiatric/Mental Health CurrentSince Nov 1, 2023 Accepting new patients

Locations

540 North Ave
Ste 4
Union, NJ 07083
Phone (908) 588-2445

Organizations & group practices 3

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1508638941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522806",
            "telephone_number": "973-606-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NORTH AVE STE 4",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837149",
            "telephone_number": "973-606-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NZEDURU",
        "first_name": "ULOMA",
        "credential": "DNP PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15136700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.