Individual provider Active NPI

Chika Ojeyemi, PMHNP

  • Adult Psychiatric/Mental Health Registered Nurse
  • New York, NY
National Provider Identifier
1578012746
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
F405804-01 Issued in NY
Practice address
11 Broadway
New York, NY 10004-1303
Phone
(212) 320-2216
NPI assigned
Sep 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X F405804-01 NY Primary
Registered Nurse 163W00000X 715546 NY

Addresses

Primary practice location

11 Broadway
New York, NY 10004-1303

Mailing address

11 Broadway Ste 1168
New York, NY 10004-1326
Phone (212) 320-2216

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
I20250721000569 NJ Practitioner - Nurse Practitioner 9436665114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
JLS Medical PCGroup PAC ID 7719342005, 53 clinicians

Practice addresses (Care Compare)

36 Washington St
Suite 1 Mywellbrook Health
Toms River, NJ 08753-7667
Phone (201) 822-1161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
715546NYMDRegistered Nurse
F405804-01NYMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
JLS Medical PC CurrentSince Jul 1, 2025 Accepting new patients
Daniel J. Zimmerman, M.D., Psychiatry Services, PLLC CurrentSince Sep 8, 2024 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation PastSince Jul 1, 2025 Accepting new patients

Locations

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

36 Washington St
Ste 1
Toms River, NJ 08753
Phone (201) 942-5099

11 Broadway
Ste 1168
New York, NY 10004
Phone (212) 320-2216

Organizations & group practices 3

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": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1578012746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BROADWAY STE 1168",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041326",
            "telephone_number": "212-320-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041303",
            "telephone_number": "212-320-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJEYEMI",
        "first_name": "CHIKA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "F405804-01",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "715546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.