Emily Wanyoike

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01088400 Issued in NJ

Practice address

14 Ridgedale Ave Ste 103
Cedar Knolls, NJ 07927-1106

Phone

(862) 264-8062

NPI assigned

Jan 26, 2021

Last updated

Jan 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

NJ Memory and Behavioral CareGroup PAC ID 7719013267, 71 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ideal Psych Behavioral Health Limited Liability Company

  • Psychiatry Physician
  • Parlin, NJ
  • NPI 1639957772
  Medicare reassignment NPD Authorized official
• NJ Memory and Behavioral Care

  • Geriatric Psychiatry Physician
  • Cedar Knolls, NJ
  • NPI 1538499181
  Medicare reassignment Care Compare group NPD
• Sethi Psychiatric Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Millburn, NJ
  • NPI 1568796183
  Medicare reassignment NPD
• Loving Hearts Services

  • In Home Supportive Care Agency
  • Harrisburg, PA
  • NPI 1952878043
  NPD Authorized official
• Short Hills Medical Associates LLC

  • Family Medicine Physician
  • Millburn, NJ
  • NPI 1063154342
  NPD (past)

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1790375400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RIDGEDALE AVE SUITE 103",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "07927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RIDGEDALE AVE STE 103",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271106",
            "telephone_number": "862-264-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANYOIKE",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01088400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily@pelorusmemory.com",
            "affiliation": "N",
            "address_1": "14 Ridgedale Ave Ste 103",
            "city": "Cedar Knolls",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079271106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily@pelorusmemory.com",
            "affiliation": "N",
            "address_1": "14 Ridgedale Ave Ste 103",
            "city": "Cedar Knolls",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079271106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily@pelorusmemory.com",
            "affiliation": "N",
            "address_1": "14 Ridgedale Ave Ste 103",
            "city": "Cedar Knolls",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079271106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vista Pain Management, LLC
• Colleen M Wagner, A-GNP-C
• Kathryn Waksmundzki-Silva, M.D.
• Charles Wang, MD
• Shuwei Wang, M.D.
• Kristina E Warchol, DPT
• Lindsay Waxman
• Tamara Weisman, D.O.
• Santiago Wer Arrivillaga, MD
• Judeth F Wesley, RN, LCSW, LCADC

• Psychiatric/Mental Health Nurse Practitioner in Cedar Knolls, NJ
• Providers in Cedar Knolls, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.