Femi Ramat Omidire, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01012700 Issued in NJ

Practice address

40 Union Ave Ste 301
Irvington, NJ 07111-3290

Phone

(973) 393-2296

Fax

(862) 849-2319

NPI assigned

Jan 31, 2020

Last updated

Jan 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ, MD2 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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Irvington Counseling Center, Inc.Group PAC ID 8921137274, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Temple Health Management LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Union, NJ
  • NPI 1912731654

  MD

  Medicare reassignment NPD Authorized official
• Irvington Counseling Center, Inc.

  • Psychiatry Physician
  • Irvington, NJ
  • NPI 1356377113
  Medicare reassignment Care Compare group
• Grace Medical Consult

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvington, NJ
  • NPI 1104370915
  Medicare reassignment NPD
• Nutley Family Service Bureau, Inc.

  • Community/Behavioral Health Agency
  • Nutley, NJ
  • NPI 1760532345
  Medicare reassignment NPD
• Grace Medical Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hoboken, NJ
  • NPI 1881217685

  Psychiatric/Mental Health

  NPD
• L&a Absolute Care LLC

  • Psychiatry Physician
  • Irvington, NJ
  • NPI 1134634462

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1235760984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 INWOOD RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836558",
            "telephone_number": "973-393-2296",
            "fax_number": "862-849-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 UNION AVE STE 301",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113290",
            "telephone_number": "973-393-2296",
            "fax_number": "862-849-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMIDIRE",
        "first_name": "FEMI",
        "middle_name": "RAMAT",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01012700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ZOOBOOK",
            "affiliation": "N",
            "endpointDescription": "ZOOBOOK",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "INTERNET",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ZOOBOOK",
            "address_1": "40 Union Ave Ste 301",
            "city": "Irvington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071113290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Godfrey Okpala, LPN
• Chibuzor Oku
• Anthony Ifeanyi Oleka
• Olivia Home Health Care LLC
• Temitayo Olokose, CRNA
• Onecommunity Medical Trans LLC
• Musola Ninilola Alfred Oniyide, DPT
• Linda Oluchukwu Onunkwo, APN, PMHNP-BC
• Vivian Chidinma Onyeagoro
• Chikezie Onyenso, MD

• Psychiatric/Mental Health Nurse Practitioner in Irvington, NJ
• Providers in Irvington, 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 Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.