Mary Mumbi Njogu, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

SP019597 Issued in PA

Practice address

907 Woodbrook LN
Philadelphia, PA 19150-3217

Phone

(267) 690-6916

NPI assigned

Dec 15, 2019

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1576368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1821636317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 WOODBROOK LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 WOODBROOK LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503217",
            "telephone_number": "267-690-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJOGU",
        "first_name": "MARY",
        "middle_name": "MUMBI",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-15",
        "last_updated": "2023-03-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP019597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN6175625",
            "identifier": "MN6175625",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mercy.life.west.philadelphia@trinityhealthpa.medicity.net",
            "affiliation": "N",
            "endpointDescription": "Mercy life west Philadelphia direct email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4508 Chestnut St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191393608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yolanda H Nixon, CRNP
• Natalie Nixson
• Jennifer S Nizen, MD
• Yvonne Ellenatieno Njage, MD
• Isatou Njie
• Daniel Chikamnele Njoku
• Ijeoma Njoku, NP
• Suzie Njunge
• Kenneddy Nkachukwu
• Veronica Epah Nkie, DO, MPH, MLS

• Gerontology Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.