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, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Adaoma Ejimbe Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 enrollment system.
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 7 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 in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **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.