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

Ekene Egboka

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1568335727

Ekene Egboka is a Nurse Practitioner in Glassboro, New Jersey. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2025
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Practice location Address checks out

405 Crispin Way
Glassboro, NJ 08028-3471
Phone: (908) 838-1737
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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 26NJ15463600 (NJ)

Record details

NPI number1568335727
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 24, 2025
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address405 Crispin Way, Glassboro, NJ 08028-3471

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

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