Individual provider Active NPI

Emmanuel Yeboah, APN, FNP

  • Family Nurse Practitioner
  • Elizabeth, NJ
National Provider Identifier
1801616826
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15189500 Issued in NJ
Practice address
400 Westfield Ave
Elizabeth, NJ 07208-1621
Phone
(908) 677-5900
NPI assigned
Oct 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15189500 NJ Primary

Addresses

Primary practice location

400 Westfield Ave
Elizabeth, NJ 07208-1621

Mailing address

16 Koster Blvd Apt 4B
Edison, NJ 08837-4233
Phone (862) 367-2879

Other practice location 1

16 Koster Blvd Apt 4B
Edison, NJ 08837-4233
Phone (862) 367-2879

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
I20250331000322 NJ Practitioner - Nurse Practitioner 2466975560 Reassigns benefits to 2 organizations

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
Jersey Irish MedicalGroup PAC ID 0941451215, 34 clinicians
Browne Medical LLCGroup PAC ID 9032347281, 19 clinicians

Practice addresses (Care Compare)

400 Westfield Ave
Elizabeth, NJ 07208-1621
Phone (732) 469-3627

464 Eagle Rock Ave
Suite C
West Orange, NJ 07052-3637
Phone (973) 669-5900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15189500NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manicare Home Health Current Accepting new patients
Jersey Irish Medical CurrentSince Jan 24, 2025 Accepting new patients
Browne Medical, LLC CurrentSince Nov 1, 2025 Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients

Locations

1140 State Route 34
Aberdeen, NJ 07747
Phone (732) 583-5100

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

400 Westfield Ave
Elizabeth, NJ 07208
Phone (908) 428-8001

907 Oak Tree Ave
Ste H
South Plainfield, NJ 07080
Phone (908) 222-3500

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

464 Eagle Rock Ave
Ste C
West Orange, NJ 07052
Phone (973) 669-5900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1801616826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 KOSTER BLVD APT 4B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088374233",
            "telephone_number": "862-367-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTFIELD AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081621",
            "telephone_number": "908-677-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Koster Blvd Apt 4B",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088374233",
            "country_code": "US",
            "telephone_number": "862-367-2879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEBOAH",
        "first_name": "EMMANUEL",
        "credential": "APN, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-15",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15189500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.