Individual provider Active NPI

David O Alabi, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1942645544
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00418900 Issued in NJ
Practice address
18 Ferry St Ste 2
Newark, NJ 07105-1436
Phone
(973) 589-3566
Fax
(973) 589-1707
NPI assigned
May 8, 2013
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X #33 338715 NY
Family Nurse Practitioner 363LF0000X 26NJ00418900 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00418900 NJ Primary

Addresses

Primary practice location

18 Ferry St Ste 2
Newark, NJ 07105-1436

Mailing address

18 Ferry St Ste 2
Newark, NJ 07105-1436
Phone (973) 589-3566

Other practice location 1

394 University Ave
Newark, NJ 07102
Phone (973) 877-6096

Other practice location 2

687 Frelinghuysen Ave
Newark, NJ 07114-1349
Phone (973) 799-0508 ext. 203

Other identifiers 2

IdentifierTypeStateIssuer
# 338715OtherNYFAMILY PRACTICE NURSE
82-4723243MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130920000551 NJ Practitioner - Nurse Practitioner 7719128271 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Power House Psychotherapy and Addiction, LLCGroup PAC ID 3971831421, 2 clinicians

Practice addresses (Care Compare)

18 Ferry St
Suite 2
Newark, NJ 07105-1436
Phone (973) 262-4936

45 Academy St
Suite 303
Newark, NJ 07102-2900
Phone 97387839001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
#33 338715NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Services Corporation CurrentSince Oct 1, 2022 Accepting new patients
Integrity, Inc CurrentSince Nov 23, 2022 Accepting new patients
Eagle Psych LLC Psychiatric/Mental Health Current Accepting new patients
Neighborhood Health Services Corporation CurrentSince Oct 1, 2022 Accepting new patients
Integrity, Inc CurrentSince Nov 23, 2022 Accepting new patients
North Jersey Community Research Initiative CurrentSince Mar 31, 2021 Accepting new patients
Shelleys Way CurrentSince Nov 27, 2024 Accepting new patients
Power House Psychotherapy & Addiction, LLC CurrentSince Feb 17, 2020 Accepting new patients

Locations

50 Union Ave
Ste 804B
Irvington, NJ 07111
Phone (862) 955-3970

103 Lincoln Park
Newark, NJ 07102

393 Central Ave
Newark, NJ 07103
Phone (973) 483-3444

45 Academy St
Ste 303
Newark, NJ 07102
Phone (973) 624-1520

1700 Myrtle Ave
#58
Plainfield, NJ 07063
Phone (908) 753-6401

Interoperability endpoints

  • Direct secure messaging: david.alabi.1@19575.direct.athenahealth.com
  • Direct secure messaging: david.alabi.p1@direct.nhscnj.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1942645544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FERRY ST STE 2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051436",
            "telephone_number": "973-589-3566",
            "fax_number": "973-589-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 FERRY ST STE 2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051436",
            "telephone_number": "973-589-3566",
            "fax_number": "973-589-1707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "394 University Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "07102",
            "country_code": "US",
            "telephone_number": "973-877-6096",
            "fax_number": "973-733-7617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "687 Frelinghuysen Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071141349",
            "country_code": "US",
            "telephone_number": "973-799-0508 x203",
            "fax_number": "973-799-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALABI",
        "first_name": "DAVID",
        "middle_name": "O",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "#33 338715",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00418900",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00418900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE NURSE",
            "identifier": "# 338715",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82-4723243",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.