Iconichealth LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ICONICHEALTH LLC

Practice address

1901 N Olden Avenue Ext Ste 11a
Ewing, NJ 08618-2100

Phone

(609) 583-4970

Fax

(609) 323-7385

NPI assigned

Nov 19, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Olasumbo Joseph Oladeru, NURSE PRACTITIONERNPI 1083250484

Title

Chief Operating Officer

Phone

(609) 321-0233

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olasumbo Oladeru

  • Psychiatric/Mental Health Nurse Practitioner
  • Ewing, NJ
  • NPI 1083250484
  Medicare reassignment NPD Authorized official
• Brenda Starling, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ewing, NJ
  • NPI 1366148397
  NPD

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1972106292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT STE 11A",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182100",
            "telephone_number": "609-583-4970",
            "fax_number": "609-323-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT STE 11A",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182100",
            "telephone_number": "609-583-4970",
            "fax_number": "609-323-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICONICHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "OLADERU",
        "authorized_official_first_name": "OLASUMBO",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "609-321-0233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "iconichealthservices@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4 Boleyn Ct",
            "city": "Ewing",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086282231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolanne Hunt, LPC
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• Psychiatric/Mental Health Nurse Practitioner in Ewing, NJ
• Providers in Ewing, 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 28, 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.