Individual provider Active NPI

Stella Okah

  • Psychiatric/Mental Health Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1114523867
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01087700 Issued in NJ
Practice address
765 Route 70 E BLDG a
Marlton, NJ 08053-2341
Phone
(856) 983-3900
Fax
(856) 797-4785
NPI assigned
Dec 8, 2020
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01087700 NJ Primary
School Nurse Practitioner 363LS0200X 26NJ01087700 NJ

Addresses

Primary practice location

765 Route 70 E BLDG a
Marlton, NJ 08053-2341

Mailing address

625 Evans St
Elizabeth, NJ 07201-2008
Phone (908) 282-5770

Other practice location 1

625 Evans St
Elizabeth, NJ 07201-2008
Phone (908) 282-5770

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL credentialing@cfgpc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211006002067 NJ Practitioner - Nurse Practitioner 9436557394 Reassigns benefits to 3 organizations
I20250227001174 NY Practitioner - Nurse Practitioner 9436557394

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health and Addiction CenterGroup PAC ID 5193164614, 7 clinicians

Practice addresses (Care Compare)

1815 John F Kennedy Blvd
Jersey City, NJ 07305-2180
Phone (201) 574-9676

751 Bergen Ave
Jersey City, NJ 07306-4705
Phone (201) 687-7167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ01087700NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truevine Addiction and Mental Health Clinic LLC Psychiatric/Mental Health CurrentSince Apr 28, 2024 Accepting new patients
Truevine Family Mental Health Services Psychiatric/Mental Health CurrentSince Jan 10, 2022 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jan 17, 2022 Accepting new patients
Empower Care NP in Psychiatry PLLC Psychiatric/Mental Health CurrentSince Dec 23, 2024 Accepting new patients
Mental Health and Addiction Center, Psychiatric/Mental Health CurrentSince Oct 5, 2024 Accepting new patients
Tri-Star Behavioral Health Inc Psychiatric/Mental Health PastSince Dec 23, 2024 Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

1815 John F Kennedy Blvd
Jersey City, NJ 07305
Phone (201) 433-8900

751 Bergen Ave
Jersey City, NJ 07306
Phone (201) 687-7167

549 E 168th St
Bronx, NY 10456
Phone (201) 993-3110

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFIHDD/Endpoint/HFIHDD
  • Direct secure messaging: stella.okah.p1@direct.cfg.nextgenshare.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1114523867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 EVANS ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012008",
            "telephone_number": "908-282-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 ROUTE 70 E BLDG A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532341",
            "telephone_number": "856-983-3900",
            "fax_number": "856-797-4785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Evans St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072012008",
            "country_code": "US",
            "telephone_number": "908-282-5770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKAH",
        "first_name": "STELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01087700",
            "primary": true
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "NJ",
            "license": "26NJ01087700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "credentialing@cfgpc.com",
            "affiliation": "N",
            "address_1": "765 Route 70 E Bldg A",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080532341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.