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GREENLEAF NURSE PRACTITIONER IN PSYCHIATRY, PLLC
NPI 1750242020
Clinic/Center in Staten Island, NY

Active since November 18, 2025
1110 SOUTH AVE STE 100, STATEN ISLAND, NY 10314(646) 796-4676 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2026, Nov 18, 2025 (2 updates tracked since 2025).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center

About GREENLEAF NURSE PRACTITIONER IN PSYCHIATRY, PLLC

This page provides the complete NPI Profile along with additional information for Greenleaf Nurse Practitioner In Psychiatry, Pllc, a provider established in Staten Island, New York operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1750242020 assigned on November 2025. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Ijeamaka Emejuru Np (Nurse Practitioner)

NPI
1750242020 Verify this NPI
Provider Name
GREENLEAF NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Entity Type
Organization
Location Address
1110 SOUTH AVE STE 100 STATEN ISLAND, NY 10314
Location Phone
(646) 796-4676
Mailing Address
46 LAKE PARK DR PISCATAWAY, NJ 08854
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2025
Last Update Date
04-13-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

IJEAMAKA EMEJURU NP

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(646) 796-4676

Reviews for GREENLEAF NURSE PRACTITIONER IN PSYCHIATRY, PLLC

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Frequently Asked Questions

What is GREENLEAF NURSE PRACTITIONER IN PSYCHIATRY, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1750242020, enumerated as an "organization" on November 18, 2025.

Where is the provider located?

The provider is located at 1110 SOUTH AVE STE 100 STATEN ISLAND, NY 10314 and the phone number is (646) 796-4676.

What is the provider's specialty?

Clinic/Center with taxonomy code 261Q00000X.