Ndidiamaka Ezuma, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01117200 Issued in NJ

Practice address

394 University Ave FL 2
Newark, NJ 07102-1246

Phone

(973) 877-6183

Fax

(973) 353-8446

NPI assigned

Feb 19, 2021

Last updated

Mar 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of NewarkGroup PAC ID 8123169182, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ndidiamaka.ezuma.p1@direct.memhc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City of Newark

  dba Newark Department of Health and Community Wellness

  • Community Health Clinic/Center
  • Newark, NJ
  • NPI 1356561278

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Clifton Medical Clinic Inc

  • Internal Medicine Physician
  • Clifton, NJ
  • NPI 1356936611

  Single Specialty

  Medicare reassignment NPD
• City of Newark

  dba Newark Department of Health and Community Wellness/Mary Eliza Mahoney

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1972206258

  Single Specialty

  NPD
• City of Newark

  dba Newark Department of Health and Community Welllness

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1295958908
  NPD (past)
• City of Newark

  dba Newark Department of Health and Community Wellness

  • Community Health Clinic/Center
  • Newark, NJ
  • NPI 1376976704
  NPD (past)

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1881287829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 UNIVERSITY AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021246",
            "telephone_number": "973-877-6183",
            "fax_number": "973-353-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 UNIVERSITY AVE FL 2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021246",
            "telephone_number": "973-877-6183",
            "fax_number": "973-353-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZUMA",
        "first_name": "NDIDIAMAKA",
        "name_prefix": "Dr.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01117200",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ01117200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Igor Eyzner, D.O.
• Charles Chikwado Ezeh
• Chiazokam Agatha Ezeorah
• Tiffany Chinyelu Ezepue, MD
• Judith Ezike, MD
• Mark Alan Faber, MD
• Laura J. Facas-Sullivan, LSW
• Olumuyiwa Ishola Fadahunsi
• Olukunle Abiodun Fagbenro, DO
• Laura Rachel Fagen, MD

• Family Nurse Practitioner in Newark, NJ
• Providers in Newark, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.