Individual provider Active NPI

Linda Ama Agyeiwaa, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Willingboro, NJ
National Provider Identifier
1568215960
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15019400 Issued in NJ
Practice address
28 Millbrook Dr
Willingboro, NJ 08046-3130
Phone
(201) 500-6992
Fax
(833) 605-4359
NPI assigned
Apr 8, 2024
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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 26NJ15019400 NJ Primary

Addresses

Primary practice location

28 Millbrook Dr
Willingboro, NJ 08046-3130

Mailing address

1817 Mount Holly Rd Ste C7
Burlington, NJ 08016-4700

Other practice location 1

550 Broad St Ste 606
Newark, NJ 07102-4537
Phone (201) 822-1161

Other practice location 2

111 W Water St
Toms River, NJ 08753-6407
Phone (732) 306-0109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20241002002859 NJ Practitioner - Nurse Practitioner 5395276273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
JLS Medical PCGroup PAC ID 7719342005, 53 clinicians
Stress Care of New Jersey, LLCGroup PAC ID 5294864575, 48 clinicians

Practice addresses (Care Compare)

3535 Quakerbridge Rd
Suite 800
Hamilton, NJ 08619-1256
Phone (201) 822-1161

4122 Hwy 516
Matawan, NJ 07747-7031
Phone (732) 679-4500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Care of New Jersey, LLC Single Specialty CurrentSince Jul 21, 2024 Accepting new patients
JLS Medical PC Single Specialty CurrentSince Jul 21, 2025 Accepting new patients
Linda Agyeiwaa LLC Single Specialty CurrentSince Apr 27, 2025 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Jul 21, 2024 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation Single Specialty PastSince Jul 21, 2025 Accepting new patients

Locations

3535 Quakerbridge Rd
Ste 500
Hamilton, NJ 08619

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

550 Mayor Gibson Blvd
Ste 606
Newark, NJ 07102
Phone (609) 325-8741

61 Veronica Ave
Somerset, NJ 08873
Phone (732) 679-4500

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

3535 Quakerbridge Rd
Ste 800
Trenton, NJ 08619
Phone (609) 584-0888

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1568215960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 MOUNT HOLLY RD STE C7",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MILLBROOK DR",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463130",
            "telephone_number": "201-500-6992",
            "fax_number": "833-605-4359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Broad St Ste 606",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071024537",
            "country_code": "US",
            "telephone_number": "201-822-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W Water St",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087536407",
            "country_code": "US",
            "telephone_number": "732-306-0109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGYEIWAA",
        "first_name": "LINDA",
        "middle_name": "AMA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15019400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.