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

Christiana Ezeweputa

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1366173619

Christiana Ezeweputa is a Nurse Practitioner in Irvington, New Jersey. Qualified in 2022, 4 years ago. Practices with Nj Memory and Behavioral Care, a 72-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022

Practice location Address checks out

40 Union Ave Ste 301
Irvington, NJ 07111-3290
Phone: (908) 967-6995
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ01322300 (NJ)

Record details

NPI number1366173619
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 17, 2022
Last updated in NPPESJune 17, 2022
Certification dateJune 17, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nj Memory And Behavioral Care — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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