SHILOH WELLNESS
NPI 1114871886
Nurse Practitioner - Psychiatric/Mental Health in Newark, NJ

Active since February 20, 2026
12 BAYARD PL, NEWARK, NJ 07106(201) 349-6816(856) 998-1204 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About SHILOH WELLNESS

This page provides the complete NPI Profile along with additional information for Shiloh Wellness, a provider established in Newark, New Jersey operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1114871886 assigned on February 2026. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated May 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Vivien Ogon (Credentialing Manager)

NPI
1114871886 Verify this NPI
Provider Name
SHILOH WELLNESS
Entity Type
Organization
Location Address
12 BAYARD PL NEWARK, NJ 07106
Location Phone
(201) 349-6816
Location Fax
(856) 998-1204
Mailing Address
12 BAYARD PL NEWARK, NJ 07106
Mailing Phone
(201) 349-6816
Mailing Fax
(856) 998-1204
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2026
Last Update Date
05-12-2026
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A nurse practitioner (NP) like Shiloh Wellness is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VIVIEN OGON

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(856) 398-0428

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
12 BAYARD PL
NEWARK, NJ 07106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114871886, enumerated as an "organization" on February 20, 2026.

The provider is located at 12 BAYARD PL NEWARK, NJ 07106 and the phone number is (201) 349-6816.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.