Agiliga Muomah, DNP, PMHNP-BC, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00614100 Issued in NJ

Practice address

335 Klagg Ave
Trenton, NJ 08638-4419

Phone

(609) 228-6258

Fax

(609) 423-0210

NPI assigned

Oct 21, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Stable Community Services

  • Community/Behavioral Health Agency
  • Burlington City, NJ
  • NPI 1568885663
  Medicare reassignment NPD
• Living Water Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Trenton, NJ
  • NPI 1972150159
  Medicare reassignment
• Revive Spine and Pain Center

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Marlton, NJ
  • NPI 1457896003
  NPD (past)
• Stable Community Services

  • Multi-Specialty Clinic/Center
  • Burlington City, NJ
  • NPI 1861851594
  NPD (past)

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1841662566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 KLAGG AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086384419",
            "telephone_number": "609-228-6258",
            "fax_number": "609-218-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 KLAGG AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086384419",
            "telephone_number": "609-228-6258",
            "fax_number": "609-423-0210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2906 Route 130 Ste 207",
            "address_purpose": "LOCATION",
            "city": "Delran",
            "state": "NJ",
            "postal_code": "080752521",
            "country_code": "US",
            "telephone_number": "609-228-6258 x1001",
            "fax_number": "609-218-5623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUOMAH",
        "first_name": "AGILIGA",
        "credential": "DNP, PMHNP-BC, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00614100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.livingwaterbh.com.",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "335 Klagg Ave",
            "city": "Trenton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086384419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph M Mraw, RPH
• Abdul W Mughal, M.D.
• Nikolett Muller
• Irene Mercedes Munoz-Gudiel
• Irma Aracely Munoz
• Amanda Murdock
• Tom Murikan, MD
• Karen Suzanne Murphy, LCADC
• Susan Musa, APN
• Christopher J Mussell, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Trenton, NJ
• Providers in Trenton, 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 Apr 12, 2024; 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.