Individual provider Active NPI

Regina N Inokon

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1982210969
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01053800 Issued in NJ
Practice address
110 William St
Newark, NJ 07102-1304
Phone
(551) 358-7383
NPI assigned
Sep 16, 2020
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01053800 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01053800 NJ Primary

Addresses

Primary practice location

110 William St
Newark, NJ 07102-1304

Mailing address

110 William St
Newark, NJ 07102-1304
Phone (551) 358-7383

Other practice location 1

550 Broad St Ste 606
Newark, NJ 07102-4537
Phone (201) 822-1161

Other identifiers 1

IdentifierTypeStateIssuer
0859516MedicaidNJ

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
I20210723003331 NJ Practitioner - Nurse Practitioner 8921401241 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of NewarkGroup PAC ID 8123169182, 11 clinicians

Practice addresses (Care Compare)

110 William St
Newark, NJ 07102-1304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01053800NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Believe and Prevention Health Psychiatric/Mental Health CurrentSince Oct 15, 2023 Accepting new patients
City of Newark CurrentSince Jun 28, 2021 Accepting new patients
Purpleblue Behavioral Health Psychiatric/Mental Health CurrentSince Sep 25, 2024 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Jul 2, 2024 Accepting new patients
Quannet Health Inc Psychiatric/Mental Health CurrentSince Apr 1, 2025 Accepting new patients
City of Newark CurrentSince Jun 28, 2021 Accepting new patients
JLS Medical PC Psychiatric/Mental Health PastSince Mar 3, 2023 Accepting new patients
City of Newark Past Accepting new patients
City of Newark Past Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation Past Accepting new patients
My Home Doctor, LLC Past Accepting new patients

Locations

180 Grand Ave
Englewood, NJ 07631
Phone (201) 871-1766

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

34 Union Ave
Irvington, NJ 07111
Phone (551) 358-7382

34 Union Ave
Fl 2
Irvington, NJ 07111
Phone (862) 772-3972

110 William St
Newark, NJ 07102
Phone (973) 424-4271

394 University Ave
Newark, NJ 07102
Phone (800) 734-7083

701 S Orange Ave
Newark, NJ 07106
Phone (800) 734-7083

75 S Broadway
Ste 4TH-FL
White Plains, NY 10601
Phone (215) 283-2833

Interoperability endpoints

  • Direct secure messaging: regina.inokon.p1@direct.memhc.nextgenshare.com

Organizations & group practices 11

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1982210969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WILLIAM ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021304",
            "telephone_number": "551-358-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WILLIAM ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021304",
            "telephone_number": "551-358-7383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Broad St Ste 606",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071024537",
            "country_code": "US",
            "telephone_number": "201-822-1161",
            "fax_number": "877-485-8918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INOKON",
        "first_name": "REGINA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01053800",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01053800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0859516",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.