Lynda Nneka Uzonwanne

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01162900 Issued in NJ

Practice address

540 North Ave Ste 3
Union, NJ 07083-7149

Phone

(908) 588-2445

Fax

(908) 558-0170

NPI assigned

Jun 9, 2021

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

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vimax LLCGroup PAC ID 7416273644, 21 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 and National Provider Directory roles.

• Glorious Dawn Mental Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Union, NJ
  • NPI 1366197303
  Medicare reassignment NPD Authorized official
• Vimax LLC

  dba Positive Reset Mental Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colts Neck, NJ
  • NPI 1922440627
  Medicare reassignment Care Compare group NPD
• Vimax LLC

  dba Positive Reset Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • East Brunswick, NJ
  • NPI 1710504881
  NPD

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1851968515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 NORTH AVE STE 3",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837149",
            "telephone_number": "908-588-2445",
            "fax_number": "908-558-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NORTH AVE STE 3",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837149",
            "telephone_number": "908-588-2445",
            "fax_number": "908-558-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZONWANNE",
        "first_name": "LYNDA",
        "middle_name": "NNEKA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01162900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Union Ultrasound, LLC
• Unity for Developmental Disabilities
• University Clinical Services LLC
• Up and Running Medical Transport LLC
• Jazmarie Urena
• Erin Joyce Vaccaro
• Vailsburg Medical Associates
• Valmar Surgical Supplies Inc
• Vama Medical Health Center
• Sarah Masumi Van Buren, RN

• Psychiatric/Mental Health Nurse Practitioner in Union, NJ
• Providers in Union, 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 Jun 9, 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.