Shiloh Wellness

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SHILOH WELLNESS

Practice address

12 Bayard PL
Newark, NJ 07106-3634

Phone

(201) 349-6816

Fax

(856) 998-1204

NPI assigned

Feb 20, 2026

Organization subpart

No

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

Authorized official

Name

Vivien Ogon

Title

Credentialing Manager

Phone

(856) 398-0428

Specialties & licenses 1

Addresses

Practitioners 1

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

• Abisoye M. Otunuga

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
  • NPI 1659098416
  NPD (past)

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1114871886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BAYARD PL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063634",
            "telephone_number": "201-349-6816",
            "fax_number": "856-998-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BAYARD PL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063634",
            "telephone_number": "201-349-6816",
            "fax_number": "856-998-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "OGON",
        "authorized_official_first_name": "VIVIEN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "856-398-0428"
    },
    "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": []
}

• Stephen Damien Shields, M.D.
• Ling-Yu Shih, MD
• Lina Shihabuddin, MD
• Dhvani Shihora, MD
• Jake Shilan, MD
• Brandon Jaeyoon Shim, DDS
• Noa'a Shimoni, MD
• Jaewoo Shin, MD
• Peter Yong Seung Shin, M.D.
• Shinbi Acupuncture Care, P.C.

• Psychiatric/Mental Health Nurse Practitioner in Newark, NJ
• Providers in Newark, 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 May 12, 2026; 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.