Healthcare Provider Details

I. General information

NPI: 1285233874
Provider Name (Legal Business Name): VIRGINIA NJIHIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VIRGINIA INGRAM

II. Dates (important events)

Enumeration Date: 10/23/2020
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1549 SPRINGFIELD AVE
MAPLEWOOD NJ
07040-2413
US

IV. Provider business mailing address

1549 SPRINGFIELD AVE
MAPLEWOOD NJ
07040-2413
US

V. Phone/Fax

Practice location:
  • Phone: 646-687-2838
  • Fax:
Mailing address:
  • Phone: 646-687-2838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00986500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: