Individual provider Active NPI

Paul Adekunle Oniwe, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerset, NJ
National Provider Identifier
1700514718
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01348500 Issued in NJ
Practice address
11 Home St
Somerset, NJ 08873-2132
Phone
(908) 447-3743
NPI assigned
Aug 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01348500 NJ Primary

Addresses

Primary practice location

11 Home St
Somerset, NJ 08873-2132

Mailing address

11 Home St
Somerset, NJ 08873-2132
Phone (908) 447-3743

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
I20250618000254 NJ Practitioner - Nurse Practitioner 7911418744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Psychiatric Services LLCGroup PAC ID 1456878636, 6 clinicians

Practice addresses (Care Compare)

615 Hope Rd
Suite 5B
Eatontown, NJ 07724-1273
Phone (732) 389-0697

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01348500NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Psychiatric Services LLC CurrentSince May 8, 2025 Accepting new patients

Locations

615 Hope Rd
Ste 5B
Tinton Falls, NJ 07724
Phone (732) 389-0697

Organizations & group practices 1

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1700514718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HOME ST",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732132",
            "telephone_number": "908-447-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HOME ST",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732132",
            "telephone_number": "908-447-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONIWE",
        "first_name": "PAUL",
        "middle_name": "ADEKUNLE",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01348500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.