Individual provider Active NPI

Uzoamaka Ezeiruaku

  • Psychiatric/Mental Health Nurse Practitioner
  • Hammonton, NJ
National Provider Identifier
1609687177
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15231200 Issued in NJ
Practice address
301 Spring Garden Rd
Hammonton, NJ 08037-9699
Phone
(609) 561-1700
NPI assigned
Jan 15, 2025
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 26NJ15231200 NJ Primary

Addresses

Primary practice location

301 Spring Garden Rd
Hammonton, NJ 08037-9699

Mailing address

629 E Wood St Ste 201
Vineland, NJ 08360-3752
Phone (856) 905-0899

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
I20251009000440 NJ Practitioner - Nurse Practitioner 8426555087 Reassigns benefits to 1 organization

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
St Remi LLCGroup PAC ID 0042456683, 4 clinicians

Practice addresses (Care Compare)

822 Klemm Ave
Gloucester City, NJ 08030-1627
Phone (856) 282-5566

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Remi LLC PastSince Sep 1, 2025 Accepting new patients

Organizations & group practices 2

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": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1609687177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 E WOOD ST STE 201",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603752",
            "telephone_number": "856-905-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SPRING GARDEN RD",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080379699",
            "telephone_number": "609-561-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEIRUAKU",
        "first_name": "UZOAMAKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15231200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

Verify at the official NPI Registry.