Active NPI
Edward Mogere Nyamwembe, APN
- Psychiatric/Mental Health Nurse Practitioner
- Irvington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ15363100
- Practice address
- 1767 Manor Dr Apt C
Irvington, NJ 07111-1053 - Phone
- (862) 576-3598
- NPI assigned
- Jul 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ15363100 | NJ | Primary |
Addresses
Primary practice location
1767 Manor Dr Apt C
Irvington, NJ 07111-1053
Mailing address
252 County Road 601
Belle Mead, NJ 08502-3923
Phone (862) 576-3598
Other practice location 1
1767 Manor Dr Apt C
Irvington, NJ 07111-1053
Phone (862) 576-3598
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14 Ridgedale Ave
Suite 103
Cedar Knolls, NJ 07927-1106
Phone (973) 295-6335
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ15363100 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NJ Memory and Behavioral Care | Single Specialty | Current | Accepting new patients |
Locations
14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335
575 Route 28
Bldg 2
Raritan, NJ 08869
Phone (973) 295-6335
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Psychiatry Physician
- Cedar Knolls, NJ
- NPI 1538499181
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1790677284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 COUNTY ROAD 601",
"city": "BELLE MEAD",
"state": "NJ",
"postal_code": "085023923",
"telephone_number": "862-576-3598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1767 MANOR DR APT C",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071111053",
"telephone_number": "862-576-3598"
}
],
"practiceLocations": [
{
"address_1": "1767 Manor Dr Apt C",
"address_purpose": "LOCATION",
"city": "Irvington",
"state": "NJ",
"postal_code": "071111053",
"country_code": "US",
"telephone_number": "862-576-3598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NYAMWEMBE",
"first_name": "EDWARD",
"middle_name": "MOGERE",
"name_prefix": "Mr.",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-17",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ15363100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.