KAMSIYOCHUKWU OBU
NPI 1104621416
Nurse Practitioner - Psychiatric/Mental Health in Brick, NJ

Active since February 19, 2025PECOS EnrolledAccepts Medicare Assignment
1140 BURNT TAVERN RD STE 1A, BRICK, NJ 08724(908) 417-0632 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kamsiyochukwu Obu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAMSIYOCHUKWU OBU (NPI 1104621416) is an individual psychiatric/mental health provider in Brick, New Jersey, licensed in New Jersey (26NJ15276900) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104621416
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAMSIYOCHUKWU OBU
Location Address1140 BURNT TAVERN RD STE 1ABrick, NJ 08724-1496
Mailing Address1140 Burnt Tavern Rd Ste 1aBrick, NJ 08724-1496
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 19, 2025
NPPES CertifiedFebruary 17, 2025
NPI 1104621416 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 · 26NJ15276900
1140 BURNT TAVERN RD STE 1A, Brick, NJ 08724

Accepted Insurance

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

Kamsiyochukwu Obu 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 ID8628595345
PECOS Enrollment IDI20250506003752
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08724 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1140 BURNT TAVERN RD STE 1A
BRICK, NJ 08724

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 Kamsiyochukwu Obu's NPI number?

The NPI number for Kamsiyochukwu Obu is 1104621416. It was assigned to this individual provider in the NPPES registry on February 19, 2025.

Where is Kamsiyochukwu Obu located?

Kamsiyochukwu Obu practices at 1140 Burnt Tavern Rd Ste 1A, Brick, NJ 08724. The listed phone number is (908) 417-0632.

What is Kamsiyochukwu Obu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kamsiyochukwu Obu enrolled in Medicare?

Yes. Kamsiyochukwu Obu 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.

What insurance does Kamsiyochukwu Obu accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kamsiyochukwu Obu 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 Kamsiyochukwu Obu was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.