Organization Active NPI

Uncana Mental Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Elizabeth, NJ
National Provider Identifier
1740974369
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
UNCANA MENTAL HEALTH SERVICES LLC
Practice address
333 N Broad St
Elizabeth, NJ 07208-3706
Phone
(732) 659-0012
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mrs. Ngozi Beatrice Amadiegwu, NURSE PRACTITIONERNPI 1780349175
Title
Director
Phone
(908) 922-8565

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

333 N Broad St
Elizabeth, NJ 07208-3706

Mailing address

4 Hallo St
Edison, NJ 08837-2761
Phone (908) 922-8565

National Provider Directory

National Provider Directory

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": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1740974369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HALLO ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372761",
            "telephone_number": "908-922-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083706",
            "telephone_number": "732-659-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCANA MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "AMADIEGWU",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "BEATRICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-922-8565",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "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 Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.