Individual provider Active NPI

Ijechi Ndidi Ngumah, DNP, AGAC-NP, APN

  • Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1639706286
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00988200 Issued in NJ
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

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00988200 NJ
Critical Care Medicine Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210820000416 NJ Practitioner - Nurse Practitioner 9830598598 Reassigns benefits to 1 organization
I20260210004023 NY Practitioner - Nurse Practitioner 9830598598 Reassigns benefits to 1 organization

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
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

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

LicenseStateTypeSpecialty
26NJ00988200NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC Multi-Specialty CurrentSince Jan 20, 2026 Accepting new patients
Amboy Medical Practice PC Multi-Specialty CurrentSince Feb 2, 2026 Accepting new patients
Amboy Medical Practice PC Multi-Specialty CurrentSince Feb 2, 2026 Accepting new patients
Barnabas Health Medical Group PC Multi-Specialty CurrentSince Jan 20, 2026 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.

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

Verify at the official NPI Registry.