Active NPIIndividual provider

Mary Odusanya

Nurse Practitioner, Family in Springfield, New Jersey

NPI Number1346770575
Practice location
454 Morris Ave, Springfield, NJ 07081-1158
Fax
908-484-9447
Last updated
February 11, 2025

Mary Odusanya is a Nurse Practitioner, Family based in Springfield, NJ. Mary Odusanya practices in Springfield, NJ. The NPI Number for Mary Odusanya is 1346770575 and holds a License No. 26NJ00735000 (NJ). The current practice location address for Mary Odusanya is 454 Morris Ave, Springfield, NJ 07081-1158 and can be reached out via phone at 908-312-0288 and via fax at 908-484-9447.

Provider Profile Details

NPI Number
1346770575
Provider Name
Mary Odusanya
Provider Entity Type
Individual
Gender
Female
Address
454 Morris Ave, Springfield, NJ 07081-1158
Phone Number
908-312-0288
Fax Number
908-484-9447
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
June 20, 2017
Last Update Date
February 11, 2025
Certification Date
February 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
454 Morris Ave
Springfield, NJ 07081-1158
Zip
07081-1158
Phone Number
908-312-0288
Fax Number
908-484-9447
Springfield, NJ 07081Get directions →

Provider Business Mailing Address Details

Address
454 Morris Ave
Springfield, NJ 07081-1158
City
Springfield
State
NJ
Zip
07081-1158
Phone Number
908-312-0288
Fax Number
908-484-9447

License Information

License Number
26NJ00735000
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

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

Other Nurse Practitioner, Family providers near Springfield, NJ

View all Nurse Practitioner, Family providers in Springfield →

Frequently Asked Questions

What is the NPI number of Mary Odusanya?

The NPI number of Mary Odusanya is 1346770575. It was assigned on June 20, 2017 and is currently active in the NPPES registry.

What is the specialty of Mary Odusanya?

Mary Odusanya is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00735000.

Where does Mary Odusanya practice?

The practice location is 454 Morris Ave, Springfield, NJ 07081-1158. The office can be reached at 908-312-0288 (phone) or 908-484-9447 (fax).

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 1346770575 directly on the NPPES registry website.

Browse related providers