Abimbola Omoruyi

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00876700 Issued in NJ

Practice address

252 Route 601
Belle Mead, NJ 08502-3923

Phone

(908) 281-1000

NPI assigned

Nov 9, 2018

Last updated

Oct 9, 2019By the provider in NPPES

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

Other identifiers 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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

HMH Carrier Behavioral Health IncGroup PAC ID 9234043464, 41 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• HMH Carrier Behavioral Health Inc

  dba Hackensack Meridian Health Carrier Clinic

  • Psychiatric Hospital
  • Belle Mead, NJ
  • NPI 1225039399
  Medicare reassignment Care Compare group NPD
• Jomaby Healthcare Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Clinton, NJ
  • NPI 1053094078
  Medicare reassignment Authorized official
• HMH Carrier Behavioral Health Inc

  dba Hackensack Meridian Health Carrier Clinic

  • Psychiatric Hospital
  • Mahwah, NJ
  • NPI 1275158529
  NPD

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1679041420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 ROUTE 601",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085023923",
            "telephone_number": "908-281-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 ROUTE 601",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085023923",
            "telephone_number": "908-281-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMORUYI",
        "first_name": "ABIMBOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00876700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679041420",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asma Nisar, M.D.
• Monica Noda-Olszyk
• Brendan Nork
• Kelly Celine O'Connell, LCSW
• Nwa Princess Okafor
• McGovern A Owusu
• Catherine Papandrew
• Vandita H Parikh
• Vishruti Patel, NP
• Joseph J Pecora III, DO

• Psychiatric/Mental Health Nurse Practitioner in Belle Mead, NJ
• Providers in Belle Mead, 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 9, 2019; 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.