Individual provider Active NPI

Kingsley Ogigi Oyem, APN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1477062347
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00764100 Issued in NJ
Practice address
Rwjbarnabas Health, Jersey City Medical Center
355 Grand Street
Jersey City, NJ 07302
Phone
(201) 915-2000
NPI assigned
Sep 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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 26NJ00764100 NJ Primary

Addresses

Primary practice location

Rwjbarnabas Health, Jersey City Medical Center
355 Grand Street
Jersey City, NJ 07302

Mailing address

1131 Elker Rd
Union, NJ 07083-5006
Phone (347) 912-7566

Other practice location 1

59 Koch Ave
Morris Plains, NJ 07950-4400
Phone (973) 901-6187

Other names 1

  • Dr. Kingsley Ogigi Oyem Professional name

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
I20180111000140 NJ Practitioner - Nurse Practitioner 9335408780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00764100NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Nov 8, 2017 Accepting new patients
Genpsych, Inc CurrentSince Sep 16, 2023 Accepting new patients

Locations

380 Foothill Rd
Bridgewater, NJ 08807
Phone (908) 231-0511

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Organizations & group practices 2

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": "1506124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1477062347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 ELKER RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835006",
            "telephone_number": "347-912-7566",
            "fax_number": "646-490-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RWJBARNABAS HEALTH, JERSEY CITY MEDICAL CENTER",
            "address_2": "355 GRAND STREET",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "201-915-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Koch Ave",
            "address_purpose": "LOCATION",
            "city": "Morris Plains",
            "state": "NJ",
            "postal_code": "079504400",
            "country_code": "US",
            "telephone_number": "973-901-6187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OYEM",
        "first_name": "KINGSLEY",
        "middle_name": "OGIGI",
        "name_prefix": "Dr.",
        "credential": "APN  PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-23",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00764100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KINGSLEY",
            "last_name": "OYEM",
            "middle_name": "OGIGI",
            "prefix": "DR.",
            "credential": "MSN  APN  PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.