Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LYDIA OLUWASEUN OYAWOLE
NPI 1043008428
Nurse Practitioner - Psychiatric/Mental Health in Newark, NJ

Active since April 28, 2025PECOS EnrolledAccepts Medicare Assignment
550 MAYOR GIBSON BLVD STE 606, NEWARK, NJ 07102(201) 822-1161 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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

NPI1043008428
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLYDIA OLUWASEUN OYAWOLE
Location Address550 MAYOR GIBSON BLVD STE 606Newark, NJ 07102-4537
Mailing Address1317 S Main Rd Ste 2aVineland, NJ 08360-6511 · (475) 449-6183
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 28, 2025
Last NPPES UpdateOctober 8, 2026
NPPES CertifiedOctober 8, 2026
✔ NPI 1043008428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ15322500
550 MAYOR GIBSON BLVD STE 606, Newark, NJ 07102

Secondary Practice Location 1

Location 11317 S Main Rd Ste 2AVineland, NJ 08360-6511 · Phone (475) 449-6183

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

PECOS PAC ID1557876109
PECOS Enrollment IDI20250714002504
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lydia Oyawole reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
550 BROAD ST STE 606
Newark, NJ 07102
  • Reassigned Medicare billing, New Jersey enrollment
  • 141 clinicians in this Medicare group
Geriatric Psychiatry
765 EAST ROUTE 70, BUILDING A
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 219 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Psychiatric/Mental Health)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Counselor (Professional)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Nurse Practitioner (Psychiatric/Mental Health)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Nurse Practitioner (Psychiatric/Mental Health)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Social Worker (Clinical)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Social Worker (Clinical)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Nurse Practitioner (Psychiatric/Mental Health)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Nurse Practitioner (Psychiatric/Mental Health)
550 MAYOR GIBSON BLVD STE 606
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.

Which organizations bill Medicare for Lydia Oyawole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Oyawole reassigns Medicare benefits to 2 organizations: Jls Medical PC (Newark, NJ) and Center For Family Guidance, PC (Marlton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lydia Oyawole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lydia Oyawole accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Lydia Oyawole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 31 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.