Organization Active NPI

Zainhan Psychiatric and Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1487345138
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ZAINHAN PSYCHIATRIC AND MENTAL HEALTH
Practice address
107 S 12TH St
Newark, NJ 07107-4197
Phone
(973) 517-0123
NPI assigned
May 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Musafau AdenaikeNPI 1235825894
Title
Ceo
Phone
(973) 517-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

107 S 12TH St
Newark, NJ 07107-4197

Mailing address

107 S 12TH St
Newark, NJ 07107-4197
Phone (973) 517-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230608000018 NJ Part B Supplier - Clinic/Group Practice 1658738521 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, NJ
O20250805002298 NY Part B Supplier - Clinic/Group Practice 1658738521 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1487345138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S 12TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071074197",
            "telephone_number": "973-517-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S 12TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071074197",
            "telephone_number": "973-517-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAINHAN PSYCHIATRIC AND MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "ADENAIKE",
        "authorized_official_first_name": "MUSAFAU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-517-0123"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.