Blessed Healthcare Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BLESSED HEALTHCARE SERVICES

Practice address

615 S 19TH St
Newark, NJ 07103-1116

Phone

(973) 964-4720

NPI assigned

Jan 23, 2026

Last updated

Jan 23, 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

Mathias Omon OlogboseleNPI 1720604986

Title

Ppmhnp-BC

Phone

(973) 964-4720

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Mathias Omon Ologbosele

  • Psychiatric/Mental Health Nurse Practitioner
  • Burlington, NJ
  • NPI 1720604986
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1841149853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S 19TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031116",
            "telephone_number": "973-964-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S 19TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031116",
            "telephone_number": "973-964-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "OLOGBOSELE",
        "authorized_official_first_name": "MATHIAS",
        "authorized_official_middle_name": "OMON",
        "authorized_official_title_or_position": "PPMHNP-BC",
        "authorized_official_telephone_number": "973-964-4720"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Newark, NJ
• Providers in Newark, 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 Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.