Iconichealth LLC
NPI 1972106292 · Psychiatric/Mental Health Nurse Practitioner · Ewing, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Iconichealth LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Ewing, NJ (NPI 1972106292).
Provider details
- NPI number
- 1972106292
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Olasumbo Oladeru, Chief Operating Officer(609) 321-0233
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-11-19
- Last updated
- 2026-01-28
- Certified
- 2026-01-28
Frequently asked questions
- What is Iconichealth LLC's NPI number?
- Iconichealth LLC's National Provider Identifier (NPI) is 1972106292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Iconichealth LLC?
- Iconichealth LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Iconichealth LLC located?
- Iconichealth LLC's practice location on file with NPPES is 1901 N Olden Avenue Ext Ste 11a, Ewing, NJ 08618-2100.
- What is Iconichealth LLC's phone number?
- The practice phone number listed in the NPPES registry for Iconichealth LLC is (609) 583-4970.
- Does Iconichealth LLC accept Medicare?
- Iconichealth LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Iconichealth LLC?
- The authorized official listed on Iconichealth LLC's NPPES record is Olasumbo Oladeru, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Iconichealth LLC's NPI active?
- Yes — Iconichealth LLC's NPI (1972106292) is active in the NPPES registry as of the last update on 2026-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.