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ICONICHEALTH LLC
NPI 1972106292
Nurse Practitioner - Psychiatric/Mental Health in Ewing, NJ

Active since November 19, 2020
1901 N OLDEN AVENUE EXT STE 11A, EWING, NJ 08618(609) 583-4970(609) 323-7385 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2026, Jan 7, 2026, Nov 19, 2020 (3 updates tracked since 2020).

About Iconichealth Llc NPPES

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

ICONICHEALTH LLC (NPI 1972106292) is a healthcare organization registered as a psychiatric/mental health in Ewing, New Jersey and active in the NPI registry since November 2020. The organization lists Olasumbo Joseph Oladeru, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1972106292
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameICONICHEALTH LLC
Location Address1901 N OLDEN AVENUE EXT STE 11AEwing, NJ 08618-2100
Mailing Address1901 N Olden Avenue Ext Ste 11aEwing, NJ 08618-2100 · (609) 583-4970 · Fax (609) 323-7385
Phone(609) 583-4970
Fax(609) 323-7385
Organization SubpartNo
Authorized OfficialOlasumbo Joseph OladeruChief Operating Officer · (609) 321-0233
Enumeration DateNovember 19, 2020
Last NPPES UpdateJanuary 28, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1972106292 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
1901 N OLDEN AVENUE EXT STE 11A, Ewing, NJ 08618
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

OLASUMBO OLADERU
Nurse Practitioner (Psychiatric/Mental Health)
1901 N OLDEN AVENUE EXT STE 11A
EWING, NJ 08618
Mercer County (609) 583-4970
BRENDA STARLING NP
Nurse Practitioner (Psychiatric/Mental Health)
1901 N OLDEN AVENUE EXT STE 11A
EWING, NJ 08618
Mercer County (609) 583-4969

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 Iconichealth LLC's NPI number?

The NPI number for Iconichealth LLC is 1972106292. It was assigned to this organization in the NPPES registry on November 19, 2020.

Where is Iconichealth LLC located?

Iconichealth LLC is located at 1901 N Olden Avenue Ext Ste 11A, Ewing, NJ 08618. The listed phone number is (609) 583-4970.

What is Iconichealth LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Iconichealth LLC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.