Active NPIIndividual providerSole proprietor

Justus O Nyamwancha, APN

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

NPI Number1790534386
Practice location
19 Prospect St, Summit, NJ 07901-2530
Fax
—
Last updated
September 17, 2026

Justus Onwong'A Nyamwancha is a Nurse Practitioner, Psych/Mental Health based in Summit, NJ. Justus Onwong'A Nyamwancha practices in Summit, NJ and has the professional credentials of APN. The NPI Number for Justus Onwong'A Nyamwancha is 1790534386 and holds a License No. 26NJ15074200 (NJ). The current practice location address for Justus Onwong'A Nyamwancha is 19 Prospect St, Summit, NJ 07901-2530 and can be reached out via phone at 908-502-7000.

Provider Profile Details

NPI Number
1790534386
Provider Name
Justus Onwong'A Nyamwancha
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
19 Prospect St, Summit, NJ 07901-2530
Phone Number
908-502-7000
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
May 15, 2024
Last Update Date
September 17, 2026
Certification Date
September 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Prospect St
Summit, NJ 07901-2530
City
Summit
Zip
07901-2530
Phone Number
908-502-7000
Summit, NJ 07901Get directions →

Provider Business Mailing Address Details

Address
19 Prospect St
Summit, NJ 07901-2530
City
Summit
State
NJ
Zip
07901-2530
Phone Number
908-502-7000

License Information

License Number
26NJ15074200
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 Justus O Nyamwancha, APN?

The NPI number of Justus O Nyamwancha, APN is 1790534386. It was assigned on May 15, 2024 and is currently active in the NPPES registry.

What is the specialty of Justus O Nyamwancha, APN?

Justus O Nyamwancha, APN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ15074200.

Where does Justus O Nyamwancha, APN practice?

The practice location is 19 Prospect St, Summit, NJ 07901-2530. The office can be reached at 908-502-7000 (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 1790534386 directly on the NPPES registry website.

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