ADAOMA EJIMBE PMHNP
NPI 1508734757
Nurse Practitioner - Psychiatric/Mental Health in New York, NY
About Adaoma Ejimbe Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADAOMA EJIMBE PMHNP (NPI 1508734757) is an individual psychiatric/mental health provider in New York, New York, licensed in New Jersey (26NJ15451400) and active in the NPI registry since October 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Adaoma Ejimbe Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Adaoma Ejimbe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cortlandt Manor, NY 10567
- Reassigned Medicare billing, New York enrollment
- 42 clinicians in this Medicare group
Poughkeepsie, NY 12601
- Reassigned Medicare billing, New York enrollment
- 94 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10016
NEW YORK, NY 10016
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 Adaoma Ejimbe's NPI number?
The NPI number for Adaoma Ejimbe is 1508734757. It was assigned to this individual provider in the NPPES registry on October 28, 2025.
Where is Adaoma Ejimbe located?
Adaoma Ejimbe practices at 462 1st Ave, New York, NY 10016. The listed phone number is (347) 430-2920.
What is Adaoma Ejimbe's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Adaoma Ejimbe enrolled in Medicare?
Yes. Adaoma Ejimbe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Adaoma Ejimbe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adaoma Ejimbe reassigns Medicare benefits to 2 organizations: Medagent Corp (Cortlandt Manor, NY) and Family Services, Inc. (Poughkeepsie, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adaoma Ejimbe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Adaoma Ejimbe was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Adaoma Ejimbe, PMHNP · NPI 1508734757
Psychiatric/Mental Health physician in New York, New York. Individual provider, active in the CMS NPPES registry since October 28, 2025.
## Identity
- **NPI:** 1508734757 (Entity type: Individual)
- **Enumerated:** October 28, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ15451400 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 462 1ST AVE, New York, NY 10016-9196
- **Phone:** (347) 430-2920
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Medagent Corp (NPI 1245301928, Cortlandt Manor, NY); Family Services, Inc. (NPI 1316939457, Poughkeepsie, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508734757) · Data from the CMS NPPES public registry.