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

Teresa Omwenga

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1578286688

Teresa Omwenga is a Nurse Practitioner in Wayne, New Jersey. Qualified in 2021, 5 years ago. Practices with Wayne Behavioral Service LLC, a 35-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2022
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Practice location Address checks out

401 Hamburg Tpke Ste 302
Wayne, NJ 07470-2139
Phone: (973) 790-9222
Fax: (973) 790-0671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ01370900 (NJ)

Record details

NPI number1578286688
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 22, 2022
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022
Mailing address8 Gifford Ct Apt 2, Maplewood, NJ 07040-3001

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wayne Behavioral Service Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wayne