Individual provider Active NPI

Hannah V Nsiah

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvington, NJ
National Provider Identifier
1679345508
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ14931300 Issued in NJ
Practice address
40 Union Ave Ste 301
Irvington, NJ 07111-3290
Phone
(646) 420-3682
NPI assigned
Oct 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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 26NJ14931300 NJ Primary

Addresses

Primary practice location

40 Union Ave Ste 301
Irvington, NJ 07111-3290

Mailing address

40 Union Ave Ste 301
Irvington, NJ 07111-3290
Phone (646) 420-3682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250417000446 NJ Practitioner - Nurse Practitioner 7214452721 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Mental and Wellness Care LLC Psychiatric/Mental Health CurrentSince Sep 12, 2024 Accepting new patients

Locations

137 Evergreen Pl
Ste 1B
East Orange, NJ 07018
Phone (201) 407-0702

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": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1679345508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 UNION AVE STE 301",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113290",
            "telephone_number": "646-420-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 UNION AVE STE 301",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113290",
            "telephone_number": "646-420-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NSIAH",
        "first_name": "HANNAH",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14931300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

Verify at the official NPI Registry.