Healthcare Provider Details

I. General information

NPI: 1831320258
Provider Name (Legal Business Name): EBERE DIRIBE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EBERE MONEKE

II. Dates (important events)

Enumeration Date: 08/03/2009
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 INDIAN FIELD DR
HAMBURG NJ
07419-2436
US

IV. Provider business mailing address

11 INDIAN FIELD DRIVE
HAMBURG NJ
07419
US

V. Phone/Fax

Practice location:
  • Phone: 973-412-8414
  • Fax:
Mailing address:
  • Phone: 973-412-8414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00186400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number26NJ00186400
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number26NJ00186400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: