Individual provider Active NPI

Constance Nana Kusi

  • Psychiatric/Mental Health Nurse Practitioner
  • Wall Township, NJ
National Provider Identifier
1649995887
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01376700 Issued in NJ
Practice address
2510 Belmar Blvd Ste I-18
Wall Township, NJ 07719-3984
Phone
(732) 743-7666
Fax
(732) 743-9455
NPI assigned
Oct 10, 2022
Last updated
Aug 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 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 26NJ01376700 NJ Primary

Addresses

Primary practice location

2510 Belmar Blvd Ste I-18
Wall Township, NJ 07719-3984

Mailing address

2510 Belmar Blvd Ste I-18
Wall Township, NJ 07719-3984
Phone (732) 743-7666

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
I20240617002519 NJ Practitioner - Nurse Practitioner 1153864301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2510 Belmar Blvd
Suite I 18
Wall Township, NJ 07719-3984
Phone (732) 557-3544

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Psychiatric Clinic CurrentSince May 11, 2024 Accepting new patients
Grace Medical Consult Psychiatric/Mental Health PastSince Oct 1, 2022 Accepting new patients
L&a Absolute Care LLC Psychiatric/Mental Health PastSince Oct 1, 2022 Accepting new patients

Locations

2510 Belmar Blvd
Ste I-18
Wall Township, NJ 07719
Phone (732) 557-3544

Organizations & group practices 3

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1649995887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 BELMAR BLVD STE I-18",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193984",
            "telephone_number": "732-743-7666",
            "fax_number": "732-743-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 BELMAR BLVD STE I-18",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193984",
            "telephone_number": "732-743-7666",
            "fax_number": "732-743-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSI",
        "first_name": "CONSTANCE",
        "middle_name": "NANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01376700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

Verify at the official NPI Registry.