Emmanuel O Anyanwu, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00743600 Issued in NJ

Practice address

5 Regent St Ste 518
Livingston, NJ 07039

Phone

(973) 994-1011

NPI assigned

Oct 2, 2017

Last updated

Jun 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunrise Behavioral Health Services LLCGroup PAC ID 1052702776, 2 clinicians

City of NewarkGroup PAC ID 8123169182, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emmanuel.anyanwu.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.

• Sunrise Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Springfield, NJ
  • NPI 1053988923
  Medicare reassignment Care Compare group NPD Authorized official
• City of Newark

  dba Newark Department of Health and Community Wellness

  • Community Health Clinic/Center
  • Newark, NJ
  • NPI 1356561278
  Medicare reassignment Care Compare group NPD
• Hunterdon Medical Center

  dba Psychiatric Associates of Hunterdon

  • Psychiatry Physician
  • Flemington, NJ
  • NPI 1629130307
  Medicare reassignment NPD
• Serv Centers of New Jersey, Inc

  dba Clifton Family Outpatient Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clifton, NJ
  • NPI 1356454615
  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
  NPD
• Hunterdon Medical Center

  dba Hunterdon Nephrology Associates

  • Nephrology Physician
  • Flemington, NJ
  • NPI 1396561577
  NPD
• Serv Centers of New Jersey, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Clifton, NJ
  • NPI 1700549680
  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)
• Genpsych Livingston

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Livingston, NJ
  • NPI 1437624202
  NPD (past)

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1912417130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REGENT ST STE 518",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391682",
            "telephone_number": "973-994-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REGENT ST STE 518",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-994-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYANWU",
        "first_name": "EMMANUEL",
        "middle_name": "O",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00743600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthem Pain LLC
• Anthony C. Quartell, MD & Associates
• John Anton, M.D.
• John Antonczak
• Patrick T Antonelli, ED.D.
• Franca Apirian, CCC-SLP
• Lessette Aponte
• Jeri Appel, JERI APPEL MACCC-SLP
• Sonia Aram, MS, RD
• Diane Araneo

• Psychiatric/Mental Health Nurse Practitioner in Livingston, NJ
• Providers in Livingston, 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 22, 2018; 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.