Active NPI
Ijechi Ndidi Ngumah, DNP, AGAC-NP, APN
- Nurse Practitioner
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ00988200
- Practice address
- 355 Grand St
Jersey City, NJ 07302-4321 - Phone
- (201) 915-2000
- NPI assigned
- Mar 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00988200 | NJ | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 26NJ00988200 | NJ | |
| Nurse Practitioner | 363L00000X | 26NJ00988200 | NJ | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ00988200 | NJ |
Addresses
Primary practice location
355 Grand St
Jersey City, NJ 07302-4321
Mailing address
175 King St
Fanwood, NJ 07023-1657
Phone (205) 422-0379
Other practice location 1
6 Forest Ave
Paramus, NJ 07652-5241
Phone (201) 880-7530
Other practice location 2
11 Overlook Rd Ste 180
Summit, NJ 07901-3581
Phone (973) 993-7100
Other practice location 3
95 Madison Ave Ste A06
Morristown, NJ 07960-7365
Phone (973) 993-7100
Other practice location 4
100 Madison Ave Ste 3101
Morristown, NJ 07960-6136
Phone (973) 993-7100
Other practice location 5
11 Overlook Rd Ste B110
Summit, NJ 07901-3577
Phone (973) 993-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Rutgers New Jersey Medical School, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Millburn Ave
Suite 104a
Millburn, NJ 07041-1712
Phone (973) 379-1991
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00988200 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Multi-Specialty | Current | Accepting new patients |
| Amboy Medical Practice PC | Multi-Specialty | Current | Accepting new patients |
| Amboy Medical Practice PC | Multi-Specialty | Current | Accepting new patients |
| Barnabas Health Medical Group PC | Multi-Specialty | Current | Accepting new patients |
| Oncology & Hematology Specialists,P.a. | Multi-Specialty | Past | Accepting new patients |
Locations
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
225 Millburn Ave
Ste 104A
Millburn, NJ 07041
Phone (732) 532-3668
4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
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 and National Provider Directory roles.
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-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
Multi-Specialty
-
- Hematology & Oncology Physician
- Mountain Lakes, NJ
- NPI 1962511147
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1639706286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 KING ST",
"city": "FANWOOD",
"state": "NJ",
"postal_code": "070231657",
"telephone_number": "205-422-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 GRAND ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024321",
"telephone_number": "201-915-2000"
}
],
"practiceLocations": [
{
"address_1": "6 Forest Ave",
"address_purpose": "LOCATION",
"city": "Paramus",
"state": "NJ",
"postal_code": "076525241",
"country_code": "US",
"telephone_number": "201-880-7530",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11 Overlook Rd Ste 180",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "NJ",
"postal_code": "079013581",
"country_code": "US",
"telephone_number": "973-993-7100",
"fax_number": "973-971-7315",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "95 Madison Ave Ste A06",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "NJ",
"postal_code": "079607365",
"country_code": "US",
"telephone_number": "973-993-7100",
"fax_number": "973-971-7315",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Madison Ave Ste 3101",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "NJ",
"postal_code": "079606136",
"country_code": "US",
"telephone_number": "973-993-7100",
"fax_number": "973-971-7315",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11 Overlook Rd Ste B110",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "NJ",
"postal_code": "079013577",
"country_code": "US",
"telephone_number": "973-993-7100",
"fax_number": "973-971-7315",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUMAH",
"first_name": "IJECHI",
"middle_name": "NDIDI",
"name_prefix": "Dr.",
"credential": "DNP, AGAC-NP, APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00988200",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "NJ",
"license": "26NJ00988200",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00988200",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ00988200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.