EBUBE JON-EMEFIEH
NPI 1790474526
Nurse Practitioner - Psychiatric/Mental Health in Eatontown, NJ

Q: What is Ebube Jon-emefieh's NPI number?

The NPI number for Ebube Jon-emefieh is 1790474526. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Q: What is Ebube Jon-emefieh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ebube Jon-emefieh was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 08, 2023PECOS EnrolledAccepts Medicare Assignment

615 HOPE RD STE 3B, EATONTOWN, NJ 07724(732) 724-1234(732) 532-0801 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2026, Jan 19, 2026, Nov 25, 2025 and 1 more (4 updates tracked since 2023).

On this page

About Ebube Jon-emefieh NPPES

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

EBUBE JON-EMEFIEH (NPI 1790474526) is an individual psychiatric/mental health provider in Eatontown, New Jersey, licensed in New Jersey (26NJ01471400) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brick, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790474526

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameEBUBE JON-EMEFIEH

Location Address615 HOPE RD STE 3BEatontown, NJ 07724-1273

Mailing Address615 Hope Rd Ste 3bEatontown, NJ 07724-1273 · (732) 724-1234 · Fax (732) 532-0801

Phone(732) 724-1234

Fax(732) 532-0801

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 8, 2023

Last NPPES UpdateMay 7, 20264 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1790474526 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 · 26NJ01471400

615 HOPE RD STE 3B, Eatontown, NJ 07724

Open in Google Maps ↗

Secondary Practice Location 1

Location 174 Brick Blvd Ste 204Brick, NJ 08723-7984 · Phone (732) 832-3444 · Fax (732) 532-0801

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ebube Jon-emefieh 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.

PECOS PAC ID5193256733

PECOS Enrollment IDI20241007001346

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

161 services59 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07724 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

Leave this field empty

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.

ASHLEY MENICHINI

Social Worker