Njideka Jacintha Ejinaka, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.025770 Issued in OH

Practice address

1149 Experiment Farm Rd
Troy, OH 45373

Phone

(937) 540-9920

Fax

(937) 202-0213

NPI assigned

Oct 5, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1962043471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 OLD DENLINGER RD",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "45426",
            "telephone_number": "937-416-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 EXPERIMENT FARM RD",
            "city": "TROY",
            "state": "OH",
            "postal_code": "45373",
            "telephone_number": "937-540-9920",
            "fax_number": "937-202-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJINAKA",
        "first_name": "NJIDEKA",
        "middle_name": "JACINTHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-05",
        "last_updated": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.025770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony S Dunkin-Moscato, D.D.S.
• Angela Kristen Dunkle, LSW
• Laura E Dunlevy, NP
• Rachel Echols, PHARMD
• Jodi Egbert
• Ifeoma Ekeh, M.D
• Fady Elassal
• Elighten Therapies LLC
• Elizabeth Township Board of Trustees
• Enrique Ellenbogen, M.D.

• All providers in Troy, OH
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.