Teresa Omwenga

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01370900 Issued in NJ

Practice address

401 Hamburg Tpke Ste 302
Wayne, NJ 07470-2139

Phone

(973) 790-9222

Fax

(973) 790-0671

NPI assigned

Sep 22, 2022

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

Electronic endpoints 1

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wayne Behavioral Service LLCGroup PAC ID 8820097561, 34 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.

• Britho Caretouch LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maplewood, NJ
  • NPI 1922965631
  Medicare reassignment NPD Authorized official
• Wayne Behavioral Service, LLC

  • Psychiatry Physician
  • Wayne, NJ
  • NPI 1487677795
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1578286688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GIFFORD CT APT 2",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403001",
            "telephone_number": "973-980-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE STE 302",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702139",
            "telephone_number": "973-790-9222",
            "fax_number": "973-790-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMWENGA",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01370900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "waynebehavioral@wbspsych.com",
            "affiliation": "N",
            "endpointDescription": "waynebehavioral@wbspsych.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 Hamburg Tpke Ste 302",
            "city": "Wayne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074702139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Milano Olaya
• Olga Orlov, MD PA
• Jessica N Oliveros
• Isaac O Omoloyin, PMHNP-BC
• Noran Omran
• One Medical Transportation
• One Oak Medical Group, LLC
• One Oak Orthopaedic & Spine Group LLC
• One Oak Orthopaedic and Spine Group LLC
• One Step at a Time PT LLC

• Psychiatric/Mental Health Nurse Practitioner in Wayne, NJ
• Providers in Wayne, NJ by specialty
• 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 Oct 21, 2022; 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.