Meshack Owuor Odawo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ15259700 Issued in NJ

Practice address

1 Marshall St Apt 6H
Irvington, NJ 07111-8684

Phone

(908) 205-7699

NPI assigned

May 31, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nynj Psychiatric Associates LLCGroup PAC ID 2961689989, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Nynj Psychiatric Associates LLC

  • Psychiatry Physician
  • Short Hills, NJ
  • NPI 1477859544
  Medicare reassignment Care Compare group NPD
• Wisdom Health and Wellbeing LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Denville, NJ
  • NPI 1700258365
  NPD (past)

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1750121190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARSHALL ST APT 6H",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071118684",
            "telephone_number": "908-205-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARSHALL ST APT 6H",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071118684",
            "telephone_number": "908-205-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODAWO",
        "first_name": "MESHACK",
        "middle_name": "OWUOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-31",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15259700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadine Akunna Nwoga II
• Edward Mogere Nyamwembe, APN
• Obebe Memrial Chiropractic Center, P.C.
• Peter E Obi, PHARMD
• Desmond Okechukwu Obiefuna Sr.
• Adeniyi Ogunkoya, MD
• Nkem Okafor
• Anthony Okeke
• Jackson A Okoya, MD
• Godfrey Okpala, LPN

• Psychiatric/Mental Health Nurse Practitioner in Irvington, NJ
• Providers in Irvington, 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 Feb 4, 2025; 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.