Provider Demographics
NPI:1477062347
Name:OYEM, KINGSLEY OGIGI (APN PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:KINGSLEY
Middle Name:OGIGI
Last Name:OYEM
Suffix:
Gender:M
Credentials:APN PMHNP-BC
Other - Prefix:DR
Other - First Name:KINGSLEY
Other - Middle Name:OGIGI
Other - Last Name:OYEM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN APN PMHNP-BC
Mailing Address - Street 1:1131 ELKER RD
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5006
Mailing Address - Country:US
Mailing Address - Phone:347-912-7566
Mailing Address - Fax:646-490-8780
Practice Address - Street 1:RWJBARNABAS HEALTH, JERSEY CITY MEDICAL CENTER
Practice Address - Street 2:355 GRAND STREET
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302
Practice Address - Country:US
Practice Address - Phone:201-915-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-23
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00764100363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty