Individual provider Active NPI

Saviour Ayim

  • Psychiatric/Mental Health Nurse Practitioner
  • West Orange, NJ
National Provider Identifier
1962078113
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403480 Issued in NY
Practice address
365 Northfield Ave
West Orange, NJ 07052-3001
Phone
(201) 895-2649
NPI assigned
May 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403480 NY Primary

Addresses

Primary practice location

365 Northfield Ave
West Orange, NJ 07052-3001

Mailing address

365 Northfield Ave
West Orange, NJ 07052-3001
Phone (201) 895-2649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210917001403 NY Practitioner - Nurse Practitioner 1658778675 Reassigns benefits to 3 organizations
I20250506002276 NJ Practitioner - Nurse Practitioner 1658778675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jay Lawrence Friedman MD LLCGroup PAC ID 3476604844, 8 clinicians
Kings Medical Ny PCGroup PAC ID 3274026299, 7 clinicians

Practice addresses (Care Compare)

310 W 72ND St
1F
New York, NY 10023-2675
Phone (201) 568-8288

7620 Bay Pkwy
Unit 201
Brooklyn, NY 11214-1532
Phone (845) 738-8770

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Medical Ny PC CurrentSince Oct 25, 2025 Accepting new patients
Ilm Medical Care PLLC CurrentSince Jul 27, 2025 Accepting new patients
Healthwise Medical Group LLC CurrentSince Feb 28, 2025 Accepting new patients
Jay Lawrence Friedman, M.D., L.L.C. CurrentSince Aug 17, 2021 Accepting new patients

Locations

2060 Millburn Ave
Ste 530
Maplewood, NJ 07040

2060 Millburn Ave
Maplewood, NJ 07040
Phone (973) 295-6220

2 Dean Dr
Fl 1
Tenafly, NJ 07670
Phone (201) 568-8288

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

99 Emerson Pl
Brooklyn, NY 11205
Phone (718) 534-3533

831 Bedford Ave
Brooklyn, NY 11205

4646 Fairport Nine Mile Point Rd
Fairport, NY 14450
Phone (585) 377-0350

353 Beach 48th St
Far Rockaway, NY 11691
Phone (718) 471-5000

11909 26th Ave
Flushing, NY 11354
Phone (718) 434-0600

Organizations & group practices 4

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1962078113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523001",
            "telephone_number": "201-895-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523001",
            "telephone_number": "201-895-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYIM",
        "first_name": "SAVIOUR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.