Individual provider Active NPI

Christiana Nduka-Onwuka, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maplewood, NJ
National Provider Identifier
1962027979
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01037800 Issued in NJ
Practice address
19 Boyden Pkwy S
Maplewood, NJ 07040-2412
Phone
(862) 520-6430
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01037800 NJ Primary

Addresses

Primary practice location

19 Boyden Pkwy S
Maplewood, NJ 07040-2412

Mailing address

19 Boyden Pkwy S
Maplewood, NJ 07040-2412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210323001017 NJ Practitioner - Nurse Practitioner 9032526827 Reassigns benefits to 3 organizations
I20210721004195 PA Practitioner - Nurse Practitioner 9032526827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PA Memory and Behavioral Care LLCGroup PAC ID 3476918558, 14 clinicians

Practice addresses (Care Compare)

641 N 13TH St
Suite E 101
Easton, PA 18042-1430
Phone (973) 295-6335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health - Behavioral Health CurrentSince Mar 28, 2022 Accepting new patients
NJ Memory and Behavioral Care CurrentSince Apr 29, 2022 Accepting new patients
Rutgers Health - Behavioral Health Current Accepting new patients
PA Memory and Behavioral Care LLC CurrentSince Apr 22, 2023 Accepting new patients
Meditelecare of New Jersey LLC CurrentSince May 1, 2021 Accepting new patients

Locations

14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335

303 George St
Fl 2
New Brunswick, NJ 08901
Phone (732) 235-6800

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

641 N 13th St
#E101
Easton, PA 18042
Phone (908) 827-1482

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1962027979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BOYDEN PKWY S",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BOYDEN PKWY S",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402412",
            "telephone_number": "862-520-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUKA-ONWUKA",
        "first_name": "CHRISTIANA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01037800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

Verify at the official NPI Registry.