Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Iconichealth LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1972106292

Iconichealth LLC is a Psychiatric/Mental Health Nurse Practitioner in Ewing, New Jersey. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1901 N Olden Avenue Ext Ste 11A
Ewing, NJ 08618-2100
Phone: (609) 583-4970
Fax: (609) 323-7385
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1972106292
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olasumbo Oladeru — Chief Operating Officer · (609) 321-0233
NPI enumeratedNovember 19, 2020
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address1901 N Olden Avenue Ext Ste 11a, Ewing, NJ 08618-2100

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