Ifeanuli Obiageli Ona, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ14850100 Issued in NJ

Practice address

118 Fairchild Ave
Morris Plains, NJ 07950-1707

Phone

(201) 923-7168

NPI assigned

May 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health and Addiction CenterGroup PAC ID 5193164614, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Crown Wellness Integrated Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Morris Plains, NJ
  • NPI 1699548560

  NJ, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Mental Health and Addiction Center,

  • Psychiatric/Mental Health Nurse Practitioner
  • Jersey City, NJ
  • NPI 1831651876

  NJ, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1457044836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 FAIRCHILD AVE",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501707",
            "telephone_number": "862-357-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 FAIRCHILD AVE",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501707",
            "telephone_number": "201-923-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONA",
        "first_name": "IFEANULI",
        "middle_name": "OBIAGELI",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14850100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James O'Rourke I
• Esohe Grace Obasohan, APN
• Ejiro Oduntan
• John Ogara, DMD
• Omnicare Behavior Health LLC
• Options Imagined a NJ Nonprofit Corporation
• Rachel Orifici
• Ibironke Otetubi
• Ashley Otte, MS OTR/L
• Lauren Palmisano, MS, CCC-SLP

• All providers in Morris Plains, NJ
• 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 31, 2023; 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.