Active NPIIndividual providerSole proprietor

Mrs. Callista N Iwuala, APN-C

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

NPI Number1841566486
Practice location
860 Grove St, Irvington, NJ 07111-3601
Fax
973-243-9861
Last updated
July 16, 2025

Callista Ngozi Iwuala is a Nurse Practitioner, Psych/Mental Health based in Irvington, NJ. Callista Ngozi Iwuala practices in Irvington, NJ and has the professional credentials of APN-C. The NPI Number for Callista Ngozi Iwuala is 1841566486 and holds a License No. 26NJ00351900 (NJ). The current practice location address for Callista Ngozi Iwuala is 860 Grove St, Irvington, NJ 07111-3601 and can be reached out via phone at 973-373-0805 and via fax at 973-243-9861.

Provider Profile Details

NPI Number
1841566486
Provider Name
Callista Ngozi Iwuala
Credential
APN-C
Provider Entity Type
Individual
Gender
Female
Address
860 Grove St, Irvington, NJ 07111-3601
Phone Number
973-373-0805
Fax Number
973-243-9861
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
March 28, 2012
Last Update Date
July 16, 2025
Certification Date
July 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
860 Grove St
Irvington, NJ 07111-3601
Zip
07111-3601
Phone Number
973-373-0805
Fax Number
973-243-9861
Irvington, NJ 07111Get directions →

Provider Business Mailing Address Details

Address
46 Crystal Ave
West Orange, NJ 07052-3546
City
West Orange
State
NJ
Zip
07052-3546
Phone Number
201-362-9916
Fax Number
973-243-9861

License Information

License Number (1)
26NJ00351900
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
26NJ00351900
License State (2)
NJ
Taxonomy (2)
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 Mrs. Callista N Iwuala, APN-C?

The NPI number of Mrs. Callista N Iwuala, APN-C is 1841566486. It was assigned on March 28, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Callista N Iwuala, APN-C?

Mrs. Callista N Iwuala, APN-C is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ00351900.

Where does Mrs. Callista N Iwuala, APN-C practice?

The practice location is 860 Grove St, Irvington, NJ 07111-3601. The office can be reached at 973-373-0805 (phone) or 973-243-9861 (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 1841566486 directly on the NPPES registry website.

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