Cedar Bloom Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CEDAR BLOOM WELLNESS LLC

Practice address

238 W Chestnut Ave Ste 2
Vineland, NJ 08360-5550

Phone

(475) 449-6183

Fax

(856) 998-1204

NPI assigned

Jul 7, 2026

Last updated

Aug 26, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lydia Oyawole, APNNPI 1043008428

Title

Co-Owner

Phone

(856) 398-0428

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lydia Oluwaseun Oyawole

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
  • NPI 1043008428
  Authorized official Same address or phone

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1689592628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 US HIGHWAY 202 N STE N",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "475-449-6183",
            "fax_number": "856-998-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 W CHESTNUT AVE STE 2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605550",
            "telephone_number": "475-449-6183",
            "fax_number": "856-998-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR BLOOM WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "OYAWOLE",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "856-398-0428",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Vineland, NJ
• Providers in Vineland, 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 Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.