Active NPI
Oakland Integrated Care Network LLC
- Psychiatric/Mental Health Nurse Practitioner
- Williamstown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- OAKLAND INTEGRATED CARE NETWORK LLC
- Practice address
- 713 Welsh LN
Williamstown, NJ 08094-6303 - Phone
- (856) 553-2755
- NPI assigned
- Jun 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Ajayi, MD
- Title
- Owner
- Phone
- (856) 553-2755
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
713 Welsh LN
Williamstown, NJ 08094-6303
Mailing address
713 Welsh LN
Williamstown, NJ 08094-6303
Phone (856) 553-2755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
521 Sicklerville Rd
Ste 3C
Sicklerville, NJ 08081
Phone (856) 553-8724
1317 S Main Rd
Vineland, NJ 08360
Phone (609) 691-2248
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Marlton, NJ
- NPI 1801124599
NJ, Psychiatric/Mental Health
-
- Internal Medicine Physician
- Vineland, NJ
- NPI 1639437403
-
- Psychiatric/Mental Health Nurse Practitioner
- Vineland, NJ
- NPI 1346053774
Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Vineland, NJ
- NPI 1730902404
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655078400000",
"number": "1003546201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 WELSH LN",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080946303",
"telephone_number": "856-553-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 WELSH LN",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080946303",
"telephone_number": "856-553-2755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKLAND INTEGRATED CARE NETWORK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-13",
"last_updated": "2022-06-13",
"certification_date": "2022-06-06",
"status": "A",
"authorized_official_last_name": "AJAYI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-553-2755",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.