LYDIA OLUWASEUN OYAWOLE
NPI 1043008428
Nurse Practitioner - Psychiatric/Mental Health in Newark, NJ
About Lydia Oluwaseun Oyawole NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYDIA OLUWASEUN OYAWOLE (NPI 1043008428) is an individual psychiatric/mental health provider in Newark, New Jersey, licensed in New Jersey (26NJ15322500) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vineland, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lydia Oluwaseun Oyawole is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lydia Oyawole's NPI number?
The NPI number for Lydia Oyawole is 1043008428. It was assigned to this individual provider in the NPPES registry on April 28, 2025.
Where is Lydia Oyawole located?
Lydia Oyawole practices at 550 Mayor Gibson Blvd Ste 606, Newark, NJ 07102. The listed phone number is (201) 822-1161.
What is Lydia Oyawole's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lydia Oyawole enrolled in Medicare?
Yes. Lydia Oyawole is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Lydia Oyawole was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lydia Oluwaseun Oyawole · NPI 1043008428
Psychiatric/Mental Health physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since April 28, 2025.
## Identity
- **NPI:** 1043008428 (Entity type: Individual)
- **Enumerated:** April 28, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ15322500 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 550 MAYOR GIBSON BLVD STE 606, Newark, NJ 07102-4537
- **Phone:** (201) 822-1161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043008428) · Data from the CMS NPPES public registry.