Individual provider Active NPI

Mercy Amuche Ugboaja, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hamilton Township, NJ
National Provider Identifier
1639607039
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00709400 Issued in NJ
Practice address
100 Horizon Center Blvd
Suite 117
Hamilton Township, NJ 08691
Phone
(732) 357-7188
Fax
(862) 233-2133
NPI assigned
May 30, 2017
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC005540 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00709400 NJ Primary

Addresses

Primary practice location

100 Horizon Center Blvd
Suite 117
Hamilton Township, NJ 08691

Mailing address

100 Horizon Center Blvd
Suite 117,
Hamilton Township, NJ 08691
Phone (732) 357-7188

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
I20171211001895 NJ Practitioner - Nurse Practitioner 4082972526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Charities Diocese of TrentonGroup PAC ID 0345214466, 30 clinicians

Practice addresses (Care Compare)

25 Ikea Dr
Westampton, NJ 08060-5115
Phone (609) 394-3209

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC005540MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Azure Care Center Psychiatric/Mental Health Current Accepting new patients
Catholic Charities, Diocese of Trenton CurrentSince Sep 22, 2019 Accepting new patients
Luminous Cares, LLC PastSince Nov 1, 2020 Accepting new patients

Locations

383 W State St
Trenton, NJ 08618
Phone (609) 278-4933

39 N Clinton Ave
Trenton, NJ 08609
Phone (609) 394-5157

25 Ikea Dr
Westampton, NJ 08060
Phone (609) 267-9339

Organizations & group practices 4

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1639607039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HORIZON CENTER BLVD",
            "address_2": "SUITE 117,",
            "city": "HAMILTON TOWNSHIP",
            "state": "NJ",
            "postal_code": "08691",
            "telephone_number": "732-357-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HORIZON CENTER BLVD",
            "address_2": "SUITE 117",
            "city": "HAMILTON TOWNSHIP",
            "state": "NJ",
            "postal_code": "08691",
            "telephone_number": "732-357-7188",
            "fax_number": "862-233-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGBOAJA",
        "first_name": "MERCY",
        "middle_name": "AMUCHE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC005540",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00709400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton Township, NJ

Sources for this page

Verify at the official NPI Registry.