Nkenna Roseline Ijeh

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01227600 Issued in NJ

Practice address

5 Harbor Front CT
Elizabeth, NJ 07206-1951

Phone

(908) 422-8328

NPI assigned

Feb 14, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1891440210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HARBOR FRONT CT",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061951",
            "telephone_number": "908-422-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HARBOR FRONT CT",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061951",
            "telephone_number": "908-422-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJEH",
        "first_name": "NKENNA",
        "middle_name": "ROSELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01227600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Database",
            "affiliation": "N",
            "address_1": "5 Harbor Front Ct",
            "city": "Elizabeth",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "072061951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Khadija Ibeh, M.D., M.P.H
• Fatima Ibrahim, APN
• Mariam Ibrahim, PHARMD
• Omar Ibrahim, MD
• Idleness Eliminators
• Maria Christina Ilac, APN, ACNPC-AG
• Shermeen Imtiaz
• Kacy Eunkyung In, APN
• Richard A Inacio, DC
• Injury Brake Chiropractic

• Psychiatric/Mental Health Nurse Practitioner in Elizabeth, NJ
• Providers in Elizabeth, 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 Feb 14, 2022; 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.