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

MR. BENNETH IFEYANYI MEKOBA APN
NPI 1205612678
Nurse Practitioner - Psychiatric/Mental Health in Roselle, NJ

Active since September 01, 2023PECOS Enrolled
586 WOODSIDE AVE, ROSELLE, NJ 07203(908) 606-8434(908) 520-4325 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2026, Sep 1, 2023 (2 updates tracked since 2023).

About Mr. Benneth Ifeyanyi Mekoba Apn NPPES

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

MR. BENNETH IFEYANYI MEKOBA APN (NPI 1205612678) is an individual psychiatric/mental health provider in Roselle, New Jersey, licensed in New Jersey (26NJ14895300) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1205612678
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. BENNETH IFEYANYI MEKOBACredential: APN
Location Address586 WOODSIDE AVERoselle, NJ 07203-2934
Mailing Address586 Woodside AveRoselle, NJ 07203 · (973) 495-7914
Phone(908) 606-8434
Fax(908) 520-4325
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 1, 2023
Last NPPES UpdateOctober 9, 20262 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1205612678 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 · 26NJ14895300
586 WOODSIDE AVE, Roselle, NJ 07203
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Benneth Ifeyanyi Mekoba Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315415098
PECOS Enrollment IDI20260512000360
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 Reassignment

Medicare enrollment records show Benneth Mekoba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Newark Community Health Centers, Inc
8.4 mi
Federally Qualified Health Center (FQHC)
92-96 FERRY STREET
Newark, NJ 07105
  • Reassigned Medicare billing, New Jersey enrollment
  • 172 clinicians in this Medicare group
NPI 1366993586 (973) 483-1300

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 07203 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

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

BEE MEEK PSYCHIATRIC CARE LLC
Nurse Practitioner (Psychiatric/Mental Health)
586 WOODSIDE AVE
ROSELLE, NJ 07203
Union County (908) 606-8434

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 Benneth Mekoba's NPI number?

The NPI number for Benneth Mekoba is 1205612678. It was assigned to this individual provider in the NPPES registry on September 1, 2023.

Where is Benneth Mekoba located?

Benneth Mekoba practices at 586 Woodside Ave, Roselle, NJ 07203. The listed phone number is (908) 606-8434.

What is Benneth Mekoba's specialty?

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

Is Benneth Mekoba enrolled in Medicare?

Yes. Benneth Mekoba is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Benneth Mekoba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benneth Mekoba reassigns Medicare benefits to Newark Community Health Centers, Inc (Newark, NJ). The 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 Benneth Mekoba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benneth Mekoba accept?

Health plans from Oscar Health list Benneth Mekoba 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 Benneth Mekoba was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.