# OMADESALA PSYCHIATRIC SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386915387
- **Authorized official:** MR. JOHN D VO (OWNER)
- **Authorized official phone:** (212) 365-0448

## Contact information

- **Practice address:** 285 DURHAM AVE STE 2A, BUILDING 6, SOUTH PLAINFIELD, NJ 07080-2546
- **Practice address phone:** (908) 548-8533
- **Practice address fax:** (908) 548-8532
- **Mailing address:** PO BOX 9, ROOSEVELT, NJ 08555-0009
- **Mailing address phone:** (609) 301-5089
- **Mailing address fax:** (831) 303-5089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 01/23/2012
- **Last updated:** 01/23/2012