Individual provider Active NPI

Oyenike O. Emiola, PMHNP- BC

  • Psychiatric/Mental Health Registered Nurse
  • Kearny, NJ
National Provider Identifier
1104427236
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
26NJ01068000 Issued in NJ
Practice address
35 S Hackensack Ave
Kearny, NJ 07032-4635
Phone
(201) 395-5600
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NJ01068000 NJ Primary

Addresses

Primary practice location

35 S Hackensack Ave
Kearny, NJ 07032-4635

Mailing address

35 S Hackensack Ave
Kearny, NJ 07032-4635
Phone (201) 395-5600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210323001466 NJ Practitioner - Nurse Practitioner 5395152193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridgeway Behavioral Health ServicesGroup PAC ID 1658699715, 17 clinicians
Comprehensive Behavioral Healthcare, Inc.Group PAC ID 4486640653, 23 clinicians

Practice addresses (Care Compare)

373 Clermont Ter
Union, NJ 07083-8073
Phone (908) 355-7886

506 3Rd St
Hoboken, NJ 07030-1970
Phone (201) 885-2539

516 Valley Brook Ave
Lyndhurst, NJ 07071-1930
Phone (201) 935-3322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Behavioral Healthcare, Inc. CurrentSince Feb 24, 2021 Accepting new patients
Bridgeway Behavioral Health Services Current Accepting new patients
Bridgeway Behavioral Health Services CurrentSince Jan 1, 2025 Accepting new patients
Rehoboth Mental Health Consult LLC Past Accepting new patients

Locations

506 3rd St
Hoboken, NJ 07030
Phone (201) 792-8200

152 Central Ave
Jersey City, NJ 07306
Phone (201) 370-4232

516 Valley Brook Ave
Lyndhurst, NJ 07071
Phone (201) 935-3322

373 Clermont Ter
Union, NJ 07083
Phone (908) 355-7886

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1104427236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S HACKENSACK AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070324635",
            "telephone_number": "201-395-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S HACKENSACK AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070324635",
            "telephone_number": "201-395-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMIOLA",
        "first_name": "OYENIKE",
        "middle_name": "O.",
        "credential": "PMHNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01068000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

Verify at the official NPI Registry.