Crown Wellness Integrated Health
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Morris Plains, NJ
NPI 1699548560 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1699548560
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- CROWN WELLNESS INTEGRATED HEALTH
- Practice address
- 118 Fairchild Ave
Morris Plains, NJ 07950-1707 - Phone
- (862) 357-5834
- NPI assigned
- Nov 2, 2023
- Organization subpart
- No
Authorized official
- Name
- Ms. Ifeanuli Ona, PMHNP-BC
- Title
- Authorzied Official
- Phone
- (862) 357-5834
Practitioners 1
-
Ifeanuli Obiageli Ona, NURSE PRACTITIONER
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250508002313 | NJ | Part B Supplier - Clinic/Group Practice | 9335666700 |
Receives reassigned benefits from 1 practitioner Practice locations: Morris Plains, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
118 Fairchild Ave
Morris Plains, NJ 07950-1707
Mailing address
118 Fairchild Ave
Morris Plains, NJ 07950-1707
Other providers in Morris Plains, NJ
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- Maureen N Connolly
- Dara Ashley Cooper
- Iris Corona
- Jennifer A Costello
- Daniel Cruz
- CSH Morris Plains Lessee, LLC
- Stephanie D'Amore
- John C. Daily
- Angel Enrique De Dios Quintero
All providers in Morris Plains, NJ · Psychiatric/Mental Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.