MEDICARE: DR. OBIANUJU CHIZOBA NINA OGBONNIA-OKOYE DNP, PMHNP-BC, APRN,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ15557500	NJ

General Provider Information

NPI Number	:	1790635514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OBIANUJU CHIZOBA NINA OGBONNIA-OKOYE DNP, PMHNP-BC, APRN,

Provider Business Mailing Address
First Line	:	925 ORCHARD TER
Second Line	:
City	:	LINDEN
State	:	NJ
Zip	:	07036-4035
Country	:	US
Telephone Number	:	347-458-5622
Fax Number	:	908-486-3045

Provider Business Practice Location Address
First Line	:	925 ORCHARD TER
Second Line	:
City	:	LINDEN
State	:	NJ
Zip	:	07036-4035
Country	:	US
Telephone Number	:	347-458-5644
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2026
Last Update Date	:	05/18/2026

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