Organization Active NPI

Keystone NP in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1720994189
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KEYSTONE NP IN PSYCHIATRY PLLC
Practice address
310 Lenox Ave
New York, NY 10027-4449
Phone
(732) 558-9625
Fax
(973) 548-9450
NPI assigned
Aug 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Kenechukwu Ezeanya
Title
Owner
Phone
(732) 558-9625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

310 Lenox Ave
New York, NY 10027-4449

Mailing address

1311 Allen Rd
Somerset, NJ 08873-7488
Phone (732) 558-9625

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1720994189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 ALLEN RD",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088737488",
            "telephone_number": "732-558-9625",
            "fax_number": "973-548-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274449",
            "telephone_number": "732-558-9625",
            "fax_number": "973-548-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "EZEANYA",
        "authorized_official_first_name": "KENECHUKWU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-558-9625"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.