Provider Demographics
NPI:1679331268
Name:MBAEKWE, NGOZIKA UJU (RN)
Entity type:Individual
Prefix:
First Name:NGOZIKA
Middle Name:UJU
Last Name:MBAEKWE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:NGOZIKA
Other - Middle Name:UJU
Other - Last Name:ECHEZONA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9 MARC DR
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8244
Mailing Address - Country:US
Mailing Address - Phone:973-619-2280
Mailing Address - Fax:
Practice Address - Street 1:111 NJ ROUTE-35
Practice Address - Street 2:
Practice Address - City:CLIFFWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07721
Practice Address - Country:US
Practice Address - Phone:732-812-5489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAN2024242084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry