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

Kamsiyochukwu Obu

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104621416

Kamsiyochukwu Obu is a Nurse Practitioner in Brick, New Jersey. Qualified in 2024, 2 years ago. Practices with Grace Behavioral Health Services, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2025

Practice location Address checks out

1140 Burnt Tavern Rd Ste 1A
Brick, NJ 08724-1496
Phone: (908) 417-0632
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 26NJ15276900 (NJ)

Record details

NPI number1104621416
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 19, 2025
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Grace Behavioral Health Services — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Brick