Individual provider Active NPI

Nantale Nsibirwa, NP

  • Family Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1982338489
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01375200 Issued in NJ
Practice address
519-525 West Street
Camden, NJ 08103
Phone
(856) 968-2320
Fax
(856) 968-2317
NPI assigned
Jul 12, 2022
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01375200 NJ Primary
Registered Nurse 163W00000X 26NR24108800 NJ

Addresses

Primary practice location

519-525 West Street
Camden, NJ 08103

Mailing address

1369 Farrington Rd
Philadelphia, PA 19151-2832
Phone (267) 307-7786

Other practice location 1

321 N Warren St
Trenton, NJ 08618-4741
Phone (609) 278-5900

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
I20230213000917 NJ Practitioner - Nurse Practitioner 1759753148 Reassigns benefits to 3 organizations
I20241001001578 PA Practitioner - Nurse Practitioner 1759753148 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
Project H.O.P.E., Inc.Group PAC ID 3779645866, 3 clinicians

Practice addresses (Care Compare)

519 -525 W St
Camden, NJ 08103-3529
Phone (856) 968-2320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR24108800NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Health Group, LLC CurrentSince Sep 18, 2024 Accepting new patients
Community Health Care, Inc. CurrentSince Dec 5, 2023 Accepting new patients
Pulse Vascular, LLC CurrentSince Sep 18, 2023 Accepting new patients
Community Health Care, Inc. CurrentSince Dec 5, 2023 Accepting new patients
Merion Square Road Medical PC CurrentSince Sep 18, 2024 Accepting new patients
Project H.O.P.E., Inc. Past Accepting new patients

Locations

14 N Pearl St
Bridgeton, NJ 08302
Phone (856) 340-9830

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1982338489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 FARRINGTON RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512832",
            "telephone_number": "267-307-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519-525 WEST STREET",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "856-968-2320",
            "fax_number": "856-968-2317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 N Warren St",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086184741",
            "country_code": "US",
            "telephone_number": "609-278-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NSIBIRWA",
        "first_name": "NANTALE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2025-07-14",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01375200",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR24108800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.