Active NPI
Uncana Mental Health Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Elizabeth, NJ
National Provider Identifier
1740974369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ngozi Beatrice Amadiegwu, NURSE PRACTITIONER
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Edison, NJ
- NPI 1780349175
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
- Shantal Tagalog Tubalado
- Alnesa Turner, LPN
- Paula Turso
- U.S. Healthworks Medical Group of New Jersey, PC
- George Umansky, D.D.S.
- Union Care Pharmacy LLC
- Union County Comprehensive Medical and Rehabilitation Center, PC
- Union County Healthcare Associates LLC
- Union County Healthcare Associates LLC
- Union County Infectious Diseases Group
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.