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MR. BENNETH IFEYANYI MEKOBA APN
NPI 1205612678
Nurse Practitioner - Psychiatric/Mental Health in Linden, NJ

Active since September 01, 2023PECOS Enrolled
1203 W ST GEORGE AVE, LINDEN, NJ 07036(908) 583-5151 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Benneth Ifeyanyi Mekoba Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BENNETH IFEYANYI MEKOBA APN (NPI 1205612678) is an individual psychiatric/mental health provider in Linden, New Jersey, licensed in New Jersey (26NJ14895300) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1205612678
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. BENNETH IFEYANYI MEKOBACredential: APN
Location Address1203 W ST GEORGE AVELinden, NJ 07036
Mailing Address586 Woodside AveRoselle, NJ 07203 · (973) 495-7914
Phone(908) 583-5151
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 1, 2023
✔ NPI 1205612678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ14895300
1203 W ST GEORGE AVE, Linden, NJ 07036
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Benneth Ifeyanyi Mekoba Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315415098
PECOS Enrollment IDI20260512000360
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benneth Mekoba's NPI number?

The NPI number for Benneth Mekoba is 1205612678. It was assigned to this individual provider in the NPPES registry on September 1, 2023.

Where is Benneth Mekoba located?

Benneth Mekoba practices at 1203 W St George Ave, Linden, NJ 07036. The listed phone number is (908) 583-5151.

What is Benneth Mekoba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Benneth Mekoba enrolled in Medicare?

Yes. Benneth Mekoba is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benneth Mekoba was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.