Mr. Benneth I Mekoba, APN
Nurse Practitioner, Psych/Mental Health in Roselle, New Jersey
1205612678- Practice location
- 586 Woodside Ave, Roselle, NJ 07203-2934
- Phone
- 908-606-8434
- Fax
- 908-520-4325
- Last updated
- October 9, 2026
Benneth Ifeyanyi Mekoba is a Nurse Practitioner, Psych/Mental Health based in Roselle, NJ. Benneth Ifeyanyi Mekoba practices in Roselle, NJ and has the professional credentials of APN. The NPI Number for Benneth Ifeyanyi Mekoba is 1205612678 and holds a License No. 26NJ14895300 (NJ). The current practice location address for Benneth Ifeyanyi Mekoba is 586 Woodside Ave, Roselle, NJ 07203-2934 and can be reached out via phone at 908-606-8434 and via fax at 908-520-4325.
Provider Profile Details
- NPI Number
- 1205612678
- Provider Name
- Benneth Ifeyanyi Mekoba
- Credential
- APN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 586 Woodside Ave, Roselle, NJ 07203-2934
- Phone Number
- 908-606-8434
- Fax Number
- 908-520-4325
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 1, 2023
- Last Update Date
- October 9, 2026
- Certification Date
- October 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 586 Woodside Ave
Roselle, NJ 07203-2934 - City
- Roselle
- State
- New Jersey
- Zip
- 07203-2934
- Phone Number
- 908-606-8434
- Fax Number
- 908-520-4325
Provider Business Mailing Address Details
- Address
- 586 Woodside Ave
Roselle, NJ 07203 - City
- Roselle
- State
- NJ
- Zip
- 07203
- Phone Number
- 973-495-7914
License Information
- License Number
- 26NJ14895300
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Benneth I Mekoba, APN?
The NPI number of Mr. Benneth I Mekoba, APN is 1205612678. It was assigned on September 1, 2023 and is currently active in the NPPES registry.
What is the specialty of Mr. Benneth I Mekoba, APN?
Mr. Benneth I Mekoba, APN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ14895300.
Where does Mr. Benneth I Mekoba, APN practice?
The practice location is 586 Woodside Ave, Roselle, NJ 07203-2934. The office can be reached at 908-606-8434 (phone) or 908-520-4325 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205612678 directly on the NPPES registry website.