Healthcare Provider Details

I. General information

NPI: 1659730448
Provider Name (Legal Business Name): ERIKA OAK PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2016
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 WARREN AVE STE 2
HO HO KUS NJ
07423-1563
US

IV. Provider business mailing address

149 BLAUVELT AVE
HO HO KUS NJ
07423-1011
US

V. Phone/Fax

Practice location:
  • Phone: 201-961-3092
  • Fax:
Mailing address:
  • Phone: 201-961-3092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number692207
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number5556
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS019777
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: