Mental Health and Addiction Center,
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Jersey City, NJ
NPI 1831651876 · NPPES record last updated Jan 24, 2025
Key facts
- NPI
- 1831651876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- MENTAL HEALTH AND ADDICTION CENTER,
- Practice address
- 751 Bergen Ave
Jersey City, NJ 07306-4705 - Phone
- (201) 687-7167
- Fax
- (201) 653-0917
- NPI assigned
- Apr 1, 2019
- Organization subpart
- No
Authorized official
- Name
- Mr. Nicholas Silao, CRNA, MA, APN
- Title
- Co-Director
- Phone
- (917) 597-0082
Practitioners 9
-
James Alaeto, APN
-
Nolleca Forbes, FNP, PMHNP
-
Moses Obidike, PMHNP-BC
-
Lilian Oguh, DNP
-
Ifeanuli Obiageli Ona, NURSE PRACTITIONER
-
Shelly Clavis, RN, MSN, NP-C, FNP
-
Nicholas Silao, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240417001466 | NJ | Part B Supplier - Clinic/Group Practice | 5193164614 |
Receives reassigned benefits from 8 practitioners Practice locations: Jersey City, NJ |
National Provider Directory
Locations
35 Journal Sq
Ste 629
Jersey City, NJ 07306
751 Bergen Ave
Jersey City, NJ 07306
Phone (201) 687-7167
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
751 Bergen Ave
Jersey City, NJ 07306-4705
Mailing address
751 Bergen Ave
Jersey City, NJ 07306-4705
Phone (201) 687-7167
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | admin@suboxone-nj.com | ||
| CONNECT URL | admin@suboxone-nj.com | Direct | |
| CONNECT URL | admin@suboxone-nj.com | ||
| CONNECT URL | admin@suboxone-nj.com |
Other providers in Jersey City, NJ
- Medalya Mendoza
- Rummel G. Mendoza
- Luke Gregory Menken
- Serge Menkin
- Irini D Mentakis
- Mental Health Harmony LLC
- Lorna Vivas Mercado
- Mercy Home Health Agency
- Johnimel Lusterio Merene-Bianco
- Jillian Mergruen
All providers in Jersey City, NJ · Psychiatric/Mental Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.