Ehimwenma Constance Osifo, MSN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ15126300 Issued in NJ

Practice address

485C US Highway 1
Iselin, NJ 08830-3037

Phone

(201) 993-7930

NPI assigned

Jun 18, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Moonshot Psychiatric Nurse Practitioner PCGroup PAC ID 9335589696, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moonshot Psychiatric Nurse Practitioner PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
  • NPI 1669158879

  NJ

  Medicare reassignment Care Compare group NPD
• University Hospital

  • Clinic/Center
  • Newark, NJ
  • NPI 1609178276
  Medicare reassignment
• Lavender New Jersey Psychiatric Nurse Practitioner PC

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1629922950
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732406400000",
    "number": "1023851805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485C US HIGHWAY 1",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303037",
            "telephone_number": "201-993-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485C US HIGHWAY 1",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303037",
            "telephone_number": "201-993-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSIFO",
        "first_name": "EHIMWENMA",
        "middle_name": "CONSTANCE",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NJ",
            "license": "26NR15055500",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15126300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omni Eye Specialists P a (Omni Eye Services)
• One Oak Medical Group, LLC
• Onemedspace LLC
• Open MRI Radiology LLC (ImageCare at Woodbridge)
• Stuart A Ort, M.D.
• Kimberley Ovittore, O.D.
• Ovshay Shay Ovshayev, DO
• Miriam Judith Pabon, APN-BC
• Param Healthcare & It Services, Inc
• Param Sleep Services LLC

• Psychiatric/Mental Health Nurse Practitioner in Iselin, NJ
• Providers in Iselin, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.