Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adaoma Ejimbe, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1508734757

Adaoma Ejimbe, PMHNP is a Nurse Practitioner in New York, New York. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Connecticut, New Jersey and New York.

Years since qualifying
1
Licensed in
CT, NJ, NY
In the registry since
2025
Specialties on file
4
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

462 1st Ave
New York, NY 10016-9196
Phone: (347) 430-2920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ15451400 (NJ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 15842 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 764840 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence F407749 (NY)

Record details

NPI number1508734757
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials PMHNP
Sole proprietorYes
NPI enumeratedOctober 28, 2025
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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