Active NPIIndividual provider

Ebube Jon-Emefieh

Nurse Practitioner, Psych/Mental Health in Eatontown, New Jersey

NPI Number1790474526
Practice location
615 Hope RD Ste 3B, Eatontown, NJ 07724-1273
Fax
732-532-0801
Last updated
October 7, 2026

Ebube Jon-Emefieh is a Nurse Practitioner, Psych/Mental Health based in Eatontown, NJ. Ebube Jon-Emefieh practices in Eatontown, NJ. The NPI Number for Ebube Jon-Emefieh is 1790474526 and holds a License No. 26NJ01471400 (NJ). The current practice location address for Ebube Jon-Emefieh is 615 Hope RD Ste 3B, Eatontown, NJ 07724-1273 and can be reached out via phone at 732-724-1234 and via fax at 732-532-0801.

Provider Profile Details

NPI Number
1790474526
Provider Name
Ebube Jon-Emefieh
Provider Entity Type
Individual
Gender
Female
Address
615 Hope RD Ste 3B, Eatontown, NJ 07724-1273
Phone Number
732-724-1234
Fax Number
732-532-0801
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
May 8, 2023
Last Update Date
October 7, 2026
Certification Date
October 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
615 Hope RD Ste 3B
Eatontown, NJ 07724-1273
Zip
07724-1273
Phone Number
732-724-1234
Fax Number
732-532-0801
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
615 Hope RD Ste 3B
Eatontown, NJ 07724-1273
City
Eatontown
State
NJ
Zip
07724-1273
Phone Number
732-724-1234
Fax Number
732-532-0801

License Information

License Number
26NJ01471400
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ebube Jon-Emefieh?

The NPI number of Ebube Jon-Emefieh is 1790474526. It was assigned on May 8, 2023 and is currently active in the NPPES registry.

What is the specialty of Ebube Jon-Emefieh?

Ebube Jon-Emefieh is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ01471400.

Where does Ebube Jon-Emefieh practice?

The practice location is 615 Hope RD Ste 3B, Eatontown, NJ 07724-1273. The office can be reached at 732-724-1234 (phone) or 732-532-0801 (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 1790474526 directly on the NPPES registry website.

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