Adaoma Ejimbe, PMHNP - Nurse Practitioner in New York, NY

Adaoma Ejimbe, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in New York, New York. Adaoma Ejimbe is licensed to practice in New Jersey (license number 26NJ15451400) and current practice location is 462 1st Ave, New York, New York. can be reached at office (for appointments etc.) via phone at (347) 430-2920.

NPI number for Adaoma Ejimbe is 1508734757 and current mailing address is 8 Finley Dr, Salisbury Mills, New York. does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1508734757.

Contact Information

Adaoma Ejimbe, PMHNP
462 1st Ave,
New York, NY 10016-9196
(347) 430-2920
Not Available

Map and Direction




Provider's Profile

Full NameAdaoma Ejimbe
Gender
SpecialityNurse Practitioner - Psychiatric/mental Health
Location462 1st Ave, New York, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508734757
  • Provider Enumeration Date: 10/28/2025
  • Last Update Date: 10/28/2025

Medical Identifiers

Medical identifiers for Adaoma Ejimbe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508734757NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 764840 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ15451400 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adaoma Ejimbe is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Adaoma Ejimbe, PMHNP
8 Finley Dr,
Salisbury Mills, NY 12577-5011

Ph: () -
Adaoma Ejimbe, PMHNP
462 1st Ave,
New York, NY 10016-9196

Ph: (347) 430-2920

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