Individual provider Active NPI

Chinenye Okoro

  • Psychiatric/Mental Health Nurse Practitioner
  • Union, NJ
National Provider Identifier
1790019644
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00257300 Issued in NJ
Practice address
1220 Victor Ave
Union, NJ 07083-3706
Phone
(718) 325-4669
NPI assigned
Sep 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 336073 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00257300 NJ Primary

Addresses

Primary practice location

1220 Victor Ave
Union, NJ 07083-3706

Mailing address

1220 Victor Ave
Union, NJ 07083-3706
Phone (718) 325-4669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, WA, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20100128000381 NY Practitioner - Nurse Practitioner 3870635881 Reassigns benefits to 2 organizations
I20170810000082 NJ Practitioner - Nurse Practitioner 3870635881 Reassigns benefits to 3 organizations
I20250314001742 WA Practitioner - Nurse Practitioner 3870635881 Reassigns benefits to 1 organization
I20250314002564 AZ Practitioner - Nurse Practitioner 3870635881 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
336073NYMDLicensed Practical Nurse
26NJ00257300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Classic Wellness Family Mental Health Practice LLC Psychiatric/Mental Health CurrentSince Jan 20, 2020 Accepting new patients
Just Healthcare LLC Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Feb 7, 2025 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Feb 15, 2025 Accepting new patients
Family Services, Inc. CurrentSince Sep 20, 2021 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

190 S Harrison St
East Orange, NJ 07018
Phone (973) 395-1200

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

540 North Ave
Union, NJ 07083
Phone (908) 355-5500

540 North Ave
Ste 3
Union, NJ 07083
Phone (718) 325-4669

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

20 Manchester Rd
Poughkeepsie, NY 12603
Phone (845) 347-6096

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 6

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": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1790019644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 VICTOR AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833706",
            "telephone_number": "718-325-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 VICTOR AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833706",
            "telephone_number": "718-325-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORO",
        "first_name": "CHINENYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336073",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00257300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.