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

Dr. Kevin Obi

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1679062640

Dr. Kevin Obi is a Nurse Practitioner in Union, New Jersey. Qualified in 2018, 8 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018

Practice location Address checks out

1131 Elker Rd
Union, NJ 07083-5006
Phone: (973) 342-5593
Fax: (718) 708-6683
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 · Licence F402364-1 (NY)

Record details

NPI number1679062640
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 6, 2018
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address1131 Elker Rd, Union, NJ 07083-5006

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Union