Nissi Integrated LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NISSI INTEGRATED LLC

Practice address

621 Chester Pike
Prospect Park, PA 19076-1506

Phone

(610) 905-4106

NPI assigned

May 9, 2025

Organization subpart

No

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

Authorized official

Name

Johnson O Oyelami

Title

Ceo

Phone

(610) 905-0962

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1407646888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KING AVE",
            "city": "FOLCROFT",
            "state": "PA",
            "postal_code": "190321023",
            "telephone_number": "610-905-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 CHESTER PIKE",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190761506",
            "telephone_number": "610-905-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISSI INTEGRATED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "OYELAMI",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-905-0962"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey McCartin
• Victoria McCollum
• Paul Eugene McDuffy, FNP
• Brian P Morley, DO
• Mukesh Patel M.D
• Nurtime Care, LLC
• Chima Oguekwe, MS OTR/L
• Mukesh A Patel, M.D
• Wilson Phillips, DMD
• Jacqueline G. Pratt

• In Home Supportive Care Agency in Prospect Park, PA
• Providers in Prospect Park, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.