Eniola R Omisakin

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01324700 Issued in NJ

Practice address

1070 Cranbrook Rd
Union, NJ 07083-6329

Phone

(908) 499-1634

NPI assigned

Jul 15, 2022

Sex

Male

Sole proprietor

Yes

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Owen Health Care IncGroup PAC ID 1658785985, 2 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.

• Owen Health Care, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Vauxhall, NJ
  • NPI 1295205003

  Single Specialty

  Medicare reassignment Care Compare group NPD
• State of New Jersey Omb Centralized Payroll

  dba Greystone Park Psychiatric Hospital

  • Psychiatric Hospital
  • Morris Plains, NJ
  • NPI 1336221878
  Medicare reassignment
• Owen Health Care, Inc

  • Adult Mental Health Clinic/Center
  • Vauxhall, NJ
  • NPI 1497364004
  NPD
• Owen Health Care

  • Community/Behavioral Health Agency
  • Vauxhall, NJ
  • NPI 1881101947
  NPD (past)

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1841924743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 CRANBROOK RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836329",
            "telephone_number": "908-499-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 CRANBROOK RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836329",
            "telephone_number": "908-499-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMISAKIN",
        "first_name": "ENIOLA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01324700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Obinna Oledimmah
• Gold Oleka
• Peter Oleka, PMHNP
• Patrick Akinwumi Olowoporoku, APN, PMHNP-BC
• Oladele B Oluwakuyide, B.SC PHYSICAL THERAP
• Joyce Omoro
• Esther I Omoruyi
• Onverra Health LLC (OnVerra Health)
• Uchenna Abba Onyeani, D.C
• Tiffany Kananu Opoku-Asamoah, PTA

• Psychiatric/Mental Health Nurse Practitioner in Union, NJ
• Providers in Union, 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 Jul 15, 2022; 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.