Organization Active NPI

Zambezi NP in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sussex, NJ
National Provider Identifier
1669200283
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ZAMBEZI NP IN PSYCHIATRY PLLC
Practice address
199 State RT 284
Sussex, NJ 07461-3417
Phone
(845) 412-9682
Fax
(845) 302-8635
NPI assigned
Jul 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Mrs. Munyaradzi Ephie Rwakonda, NPNPI 1316645484
Title
NP
Phone
(845) 412-9682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

199 State RT 284
Sussex, NJ 07461-3417

Mailing address

111 Mill Ridge Dr
Milford, PA 18337-9491
Phone (845) 412-9682

Other practice location 1

15 E Main St
Port Jervis, NY 12771-1924
Phone (845) 412-9682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250813000316 NJ Part B Supplier - Clinic/Group Practice 2961900576 Receives reassigned benefits from 1 practitioner
Practice locations: Sussex, NJ
O20260227002167 NY Part B Supplier - Clinic/Group Practice 2961900576 Receives reassigned benefits from 1 practitioner
Practice locations: Port Jervis, NY

National Provider Directory

National Provider Directory

Locations

15 E Main St
Port Jervis, NY 12771
Phone (845) 412-9682

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1669200283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MILL RIDGE DR",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379491",
            "telephone_number": "845-412-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 STATE RT 284",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "074613417",
            "telephone_number": "845-412-9682",
            "fax_number": "845-302-8635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 E Main St",
            "address_purpose": "LOCATION",
            "city": "Port Jervis",
            "state": "NY",
            "postal_code": "127711924",
            "country_code": "US",
            "telephone_number": "845-412-9682",
            "fax_number": "845-302-8635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZAMBEZI NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "RWAKONDA",
        "authorized_official_first_name": "MUNYARADZI",
        "authorized_official_middle_name": "EPHIE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "845-412-9682",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.