Ifeoma E Iherobiem

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01049500 Issued in NJ

Practice address

884 S Springfield Ave Apt 18
Springfield, NJ 07081-3320

Phone

(862) 371-8667

NPI assigned

Aug 28, 2020

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

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University Physician Associates of New Jersey IncGroup PAC ID 9830003417, 374 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• University Physician Associates of New Jersey Inc

  • Psychologist
  • Newark, NJ
  • NPI 1598775199

  Single Specialty

  Medicare reassignment Care Compare group NPD
• NJ Memory and Behavioral Care

  • Geriatric Psychiatry Physician
  • Cedar Knolls, NJ
  • NPI 1538499181

  Single Specialty

  Medicare reassignment NPD
• Silverbirch Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Irvington, NJ
  • NPI 1518803584
  NPD Authorized official
• University Physician Associates of New Jersey Inc

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1760492367

  Single Specialty

  NPD
• L&a Absolute Care LLC

  • Psychiatry Physician
  • Irvington, NJ
  • NPI 1134634462

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1982217873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 S SPRINGFIELD AVE APT 18",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813320",
            "telephone_number": "862-371-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 S SPRINGFIELD AVE APT 18",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813320",
            "telephone_number": "862-371-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEROBIEM",
        "first_name": "IFEOMA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01049500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christel A Hummert, DMD
• Mary Elizabeth Hunt, M.D.
• Huntington Learning Center
• Ghada Hussein, M.D.
• Icare Internal Medicine
• Jonathan Ndukaku Iherobiem
• Emily Imiolek
• Innerpeace Health Services LLC
• Insight Counseling Services LLC
• Integrative Therapy Solutions LLC

• Psychiatric/Mental Health Nurse Practitioner in Springfield, NJ
• Providers in Springfield, 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 Aug 28, 2020; 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.