Christiana Ezeweputa, | |
40 Union Ave Ste 301, Irvington, NJ 07111-3290 | |
(908) 967-6995 | |
Not Available |
Full Name | Christiana Ezeweputa |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 40 Union Ave Ste 301, Irvington, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366173619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01322300 (New Jersey) | Primary |
Entity Name | Nj Memory And Behavioral Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538499181 PECOS PAC ID: 7719013267 Enrollment ID: O20100413000027 |
Mailing Address | Practice Location Address |
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Christiana Ezeweputa, Po Box 105, Union, NJ 07083-0105 Ph: () - | Christiana Ezeweputa, 40 Union Ave Ste 301, Irvington, NJ 07111-3290 Ph: (908) 967-6995 |
Sonya L Goodrich, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Clinton Ave, Suite 140, Irvington, NJ 07111 Phone: 973-374-1080 Fax: 973-373-1726 | |
Ms. Stacy A Sharpe, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Ball St, Irvington, NJ 07111 Phone: 973-372-1095 Fax: 973-372-1096 | |
Mrs. Teresa Grant, R.N., NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1150 Springfield Avenue, Irvington, NJ 07111 Phone: 973-399-6292 | |
Richard Elinihaki Tuvako, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14 Marshall St Apt 6h, Irvington, NJ 07111 Phone: 973-760-2379 | |
Mr. Femi Ramat Omidire, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Union Ave Ste 301, Irvington, NJ 07111 Phone: 973-393-2296 Fax: 862-849-2319 | |
Marie-antoinette Chevrin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 144 Elmwood Ave, Irvington, NJ 07111 Phone: 973-449-7407 | |
Dianne Theresa Delouis, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Orchard Pl, Irvington, NJ 07111 Phone: 973-980-1868 |