Abacue Clinic LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ABACUE CLINIC LLC

Practice address

1124 Applegate Ave
Elizabeth, NJ 07202-2404

Phone

(732) 423-7114

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Ugochi Abazie, DNP, PMHNP, BSN, BSC

Title

Advance Practice Nurse

Phone

(732) 423-7114

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1851969257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 APPLEGATE AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 APPLEGATE AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022404",
            "telephone_number": "732-423-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABACUE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "ABAZIE",
        "authorized_official_first_name": "UGOCHI",
        "authorized_official_title_or_position": "ADVANCE PRACTICE NURSE",
        "authorized_official_telephone_number": "732-423-7114",
        "authorized_official_credential": "DNP, PMHNP, BSN, BSC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0712078",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.