Individual provider Active NPI

Viola Okoroanyanwu

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1164248258
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15198200 Issued in NJ
Practice address
290 Springfield Ave, Box 3320
Newark, NJ 07103
Phone
(917) 514-3077
NPI assigned
Nov 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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 Nurse Practitioner 363LP0808X 26NJ15198200 NJ Primary

Addresses

Primary practice location

290 Springfield Ave, Box 3320
Newark, NJ 07103

Mailing address

PO Box 3320
Newark, NJ 07103-0320
Phone (917) 514-3077

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
I20250924002362 NJ Practitioner - Nurse Practitioner 0042715765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Harmony Place LLCGroup PAC ID 9638693195, 4 clinicians

Practice addresses (Care Compare)

10 Mountain Blvd
Suite C East
Warren, NJ 07059-2639
Phone (732) 742-0349

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Harmony Place LLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

10 Mountain Blvd
Warren, NJ 07059
Phone (908) 226-9000

10 Mountain Blvd
Ste C
Warren, NJ 07059
Phone (732) 742-0349

Organizations & group practices 1

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": "1732320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1164248258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3320",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071030320",
            "telephone_number": "917-514-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 SPRINGFIELD AVE, BOX 3320",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "917-514-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOROANYANWU",
        "first_name": "VIOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-23",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15198200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.