Individual provider Active NPI

Ngozika Uju Mbaekwe, RN

  • Addiction Psychiatry Physician
  • Cliffwood, NJ
National Provider Identifier
1679331268
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
N202424 Issued in GA
Practice address
111 NJ Route-35
Cliffwood, NJ 07721
Phone
(732) 812-5489
NPI assigned
Mar 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X N202424 GA Primary

Addresses

Primary practice location

111 NJ Route-35
Cliffwood, NJ 07721

Mailing address

9 Marc Dr
Manalapan, NJ 07726-8244
Phone (973) 619-2280

Other names 1

  • Ngozika Uju Echezona Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
N202424GAMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ats of Cecil County, LLC Past Accepting new patients

Organizations & group practices 1

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": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1679331268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MARC DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268244",
            "telephone_number": "973-619-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NJ ROUTE-35",
            "city": "CLIFFWOOD",
            "state": "NJ",
            "postal_code": "07721",
            "telephone_number": "732-812-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAEKWE",
        "first_name": "NGOZIKA",
        "middle_name": "UJU",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "GA",
            "license": "N202424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NGOZIKA",
            "last_name": "ECHEZONA",
            "middle_name": "UJU",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cliffwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.