Greenleaf Nurse Practitioner In Psychiatry, PLLC
Clinic/Center in Staten Island, New York
1750242020- Practice location
- 1110 South Ave Ste 100, Staten Island, NY 10314-3411
- Phone
- 646-796-4676
- Fax
- —
- Last updated
- April 13, 2026
Greenleaf Nurse Practitioner In Psychiatry, PLLC is a healthcare organization based in Staten Island, NY. Greenleaf Nurse Practitioner In Psychiatry, PLLC practices in Staten Island, NY. The NPI Number for Greenleaf Nurse Practitioner In Psychiatry, PLLC is 1750242020. The current practice location address for Greenleaf Nurse Practitioner In Psychiatry, PLLC is 1110 South Ave Ste 100, Staten Island, NY 10314-3411 and can be reached out via phone at 646-796-4676.
Provider Profile Details
- NPI Number
- 1750242020
- Provider Name
- Greenleaf Nurse Practitioner In Psychiatry, PLLC
- Provider Entity Type
- Organization
- Address
- 1110 South Ave Ste 100, Staten Island, NY 10314-3411
- Phone Number
- 646-796-4676
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Ijeamaka Emejuru, NP · Nurse Practitioner · 646-796-4676
- Provider Enumeration Date
- November 18, 2025
- Last Update Date
- April 13, 2026
- Certification Date
- April 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1110 South Ave Ste 100
Staten Island, NY 10314-3411 - City
- Staten Island
- State
- New York
- Zip
- 10314-3411
- Phone Number
- 646-796-4676
Provider Business Mailing Address Details
- Address
- 46 Lake Park Dr
Piscataway, NJ 08854-5171 - City
- Piscataway
- State
- NJ
- Zip
- 08854-5171
License Information
- Taxonomy
- Clinic/Center · 261Q00000X · 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 Greenleaf Nurse Practitioner In Psychiatry, PLLC?
The NPI number of Greenleaf Nurse Practitioner In Psychiatry, PLLC is 1750242020. It was assigned on November 18, 2025 and is currently active in the NPPES registry.
What is the specialty of Greenleaf Nurse Practitioner In Psychiatry, PLLC?
Greenleaf Nurse Practitioner In Psychiatry, PLLC is registered under the primary taxonomy Clinic/Center (code 261Q00000X).
Where does Greenleaf Nurse Practitioner In Psychiatry, PLLC practice?
The practice location is 1110 South Ave Ste 100, Staten Island, NY 10314-3411. The office can be reached at 646-796-4676 (phone).
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 1750242020 directly on the NPPES registry website.