Organization Active NPI

Spisobod Connection

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerset, NJ
National Provider Identifier
1083278949
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SPISOBOD CONNECTION
Practice address
270 Davidson Ave
Somerset, NJ 08873-4140
Phone
(201) 650-0438
NPI assigned
Apr 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Uche O' Keem, NP-BCNPI 1750529376
Title
Owner
Phone
(201) 650-0438

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

270 Davidson Ave
Somerset, NJ 08873-4140

Mailing address

PO Box 6371
Somerset, NJ 08875-6371

National Provider Directory

National Provider Directory

Locations

270 Davidson Ave
Somerset, NJ 08873
Phone (201) 650-0438

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1083278949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6371",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088756371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 DAVIDSON AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734140",
            "telephone_number": "201-650-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPISOBOD CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "O' KEEM",
        "authorized_official_first_name": "UCHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-650-0438",
        "authorized_official_credential": "NP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.