Active NPI
Nwakanma Vivian Nwadike, APN
- Psychiatric/Mental Health Nurse Practitioner
- Wayne, NJ
National Provider Identifier
1942916796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ01366300
- Practice address
- 1501 Hamburg Tpke
Wayne, NJ 07470-4032 - Phone
- (908) 526-8370
- NPI assigned
- Jan 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01366300 | NJ | Primary |
Addresses
Primary practice location
1501 Hamburg Tpke
Wayne, NJ 07470-4032
Mailing address
1308 Bright St
Hillside, NJ 07205-2374
Phone (973) 978-2319
Other names 1
- Nwakanma V Nwadike
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250312002537 | NJ | Practitioner - Nurse Practitioner | 9638690159 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mental Health Association of Essex and Morris, Inc.
Practice addresses (Care Compare)
33 S Fullerton Ave
Montclair, NJ 07042-3358
Phone (973) 509-9777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01366300 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Mental & Behavioral Health Services L.L.C | Psychiatric/Mental Health | Current | Accepting new patients |
| Mental Health Association of Essex and Morris, Inc. | Current | Accepting new patients | |
| Harmony Home Healthcare LLC | Current | Accepting new patients |
Locations
33 S Fullerton Ave
Montclair, NJ 07042
Phone (973) 509-9777
108 Watchung Ave
Unit 179
Plainfield, NJ 07060
Phone (973) 313-5240
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Montclair, NJ
- NPI 1790721108
NJ
-
- Nursing Care Agency
- Hillside, NJ
- NPI 1639051147
-
- Psychiatric/Mental Health Nurse Practitioner
- Plainfield, NJ
- NPI 1710769484
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1942916796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 BRIGHT ST",
"city": "HILLSIDE",
"state": "NJ",
"postal_code": "072052374",
"telephone_number": "973-978-2319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HAMBURG TPKE",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074704032",
"telephone_number": "908-526-8370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWADIKE",
"first_name": "NWAKANMA",
"middle_name": "VIVIAN",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-25",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ01366300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NWAKANMA",
"last_name": "NWADIKE",
"middle_name": "V",
"credential": "APN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.