Individual provider Active NPI

Elizabeth Ifeyinwa Ilukwe, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerset, NJ
National Provider Identifier
1750908570
Registry record updated Dec 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00976000 Issued in NJ
Practice address
37 Gifford Rd
Somerset, NJ 08873-2361
Phone
(732) 690-8977
NPI assigned
Jun 26, 2020
Last updated
Dec 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 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 26NJ00976000 NJ Primary

Addresses

Primary practice location

37 Gifford Rd
Somerset, NJ 08873-2361

Mailing address

37 Gifford Rd
Somerset, NJ 08873-2361
Phone (732) 690-8977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200930000022 NJ Practitioner - Nurse Practitioner 7618396300 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Ludlow St
Newark, NJ 07114-1108
Phone (973) 565-0355

741 Broadway
Newark, NJ 07104-4309
Phone (973) 483-1300

751 Broadway
Newark, NJ 07104-4309
Phone (973) 483-1300

92 -96 Ferry St
Ironbound Medical and Dental Clinic
Newark, NJ 07104-4309
Phone (973) 803-4510

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgecare Provider Group LLC CurrentSince Jan 10, 2025 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Jun 15, 2022 Accepting new patients
All Nation Mental Health Care LLC CurrentSince Jan 14, 2023 Accepting new patients

Locations

173 Bridge Plz N
Fort Lee, NJ 07024
Phone (201) 242-4000

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1750908570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 GIFFORD RD",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732361",
            "telephone_number": "732-690-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 GIFFORD RD",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732361",
            "telephone_number": "732-690-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILUKWE",
        "first_name": "ELIZABETH",
        "middle_name": "IFEYINWA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00976000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.