Active NPIIndividual providerSole proprietor

Waleade O Yusuf

Nurse Practitioner, Psych/Mental Health in Clark, New Jersey

NPI Number1003743444
Practice location
1213 Westfield Ave, Clark, NJ 07066-1323
Fax
—
Last updated
May 7, 2026

Waleade Omowumi Yusuf is a Nurse Practitioner, Psych/Mental Health based in Clark, NJ. Waleade Omowumi Yusuf practices in Clark, NJ. The NPI Number for Waleade Omowumi Yusuf is 1003743444 and holds a License No. 26NJ15569400 (NJ). The current practice location address for Waleade Omowumi Yusuf is 1213 Westfield Ave, Clark, NJ 07066-1323 and can be reached out via phone at 862-930-0305.

Provider Profile Details

NPI Number
1003743444
Provider Name
Waleade Omowumi Yusuf
Provider Entity Type
Individual
Gender
Female
Address
1213 Westfield Ave, Clark, NJ 07066-1323
Phone Number
862-930-0305
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
May 7, 2026
Last Update Date
May 7, 2026
Certification Date
May 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1213 Westfield Ave
Clark, NJ 07066-1323
City
Clark
Zip
07066-1323
Phone Number
862-930-0305
Clark, NJ 07066Get directions →

Provider Business Mailing Address Details

Address
275 Prospect St Apt 11F
East Orange, NJ 07017-2879
City
East Orange
State
NJ
Zip
07017-2879

License Information

License Number
26NJ15569400
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Waleade O Yusuf?

The NPI number of Waleade O Yusuf is 1003743444. It was assigned on May 7, 2026 and is currently active in the NPPES registry.

What is the specialty of Waleade O Yusuf?

Waleade O Yusuf is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ15569400.

Where does Waleade O Yusuf practice?

The practice location is 1213 Westfield Ave, Clark, NJ 07066-1323. The office can be reached at 862-930-0305 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003743444 directly on the NPPES registry website.

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