Individual provider Active NPI

Eseosa Joy Oviasogie

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1144988593
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
407558 Issued in NY
Practice address
969 Ellicott St Ste 100
Buffalo, NY 14209-2324
Phone
(716) 908-7502
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 825418-01 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407558 NY Primary

Addresses

Primary practice location

969 Ellicott St Ste 100
Buffalo, NY 14209-2324

Mailing address

969 Ellicott St Ste 100
Buffalo, NY 14209-2324

Other names 1

  • Eseosa Joy Oviasogie Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, 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
I20251206000299 MA Practitioner - Nurse Practitioner 6800389800 Reassigns benefits to 1 organization
I20260406000922 NY Practitioner - Nurse Practitioner 6800389800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care Psychiatry of Ny PCGroup PAC ID 4981076247, 15 clinicians

Practice addresses (Care Compare)

5075 W Seneca Tpke
Syracuse, NY 13215-3216
Phone (718) 506-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
825418-01NYMDRegistered Nurse
407558NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Neurobehavioral Associates, LLC CurrentSince Dec 1, 2025 Accepting new patients
National Neurobehavioral Associates PC CurrentSince Apr 11, 2026 Accepting new patients

Locations

226 Field St
New Bedford, MA 02740
Phone (508) 817-5129

969 Ellicott St
#100
Buffalo, NY 14209
Phone (716) 200-0651

Organizations & group practices 3

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": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758326400000",
    "number": "1144988593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 ELLICOTT ST STE 100",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 ELLICOTT ST STE 100",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092324",
            "telephone_number": "716-908-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVIASOGIE",
        "first_name": "ESEOSA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "825418-01",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESEOSA",
            "last_name": "OVIASOGIE",
            "middle_name": "JOY",
            "credential": "DNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.