Active NPIIndividual provider

Raphael O Odekunle, MD

Family Medicine in Nutley, New Jersey

NPI Number1497108690
Practice location
181 Franklin Ave Ste 301, Nutley, NJ 07110-2900
Fax
973-320-2626
Last updated
August 15, 2026

Raphael Oluseun Odekunle is a Family Medicine based in Nutley, NJ. Raphael Oluseun Odekunle practices in Nutley, NJ and has the professional credentials of MD. The NPI Number for Raphael Oluseun Odekunle is 1497108690 and holds a License No. C186495 (CA). The current practice location address for Raphael Oluseun Odekunle is 181 Franklin Ave Ste 301, Nutley, NJ 07110-2900 and can be reached out via phone at 973-320-2625 and via fax at 973-320-2626.

Provider Profile Details

NPI Number
1497108690
Provider Name
Raphael Oluseun Odekunle
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
181 Franklin Ave Ste 301, Nutley, NJ 07110-2900
Phone Number
973-320-2625
Fax Number
973-320-2626
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
July 22, 2016
Last Update Date
August 15, 2026
Certification Date
August 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
181 Franklin Ave Ste 301
Nutley, NJ 07110-2900
City
Nutley
Zip
07110-2900
Phone Number
973-320-2625
Fax Number
973-320-2626
Nutley, NJ 07110Get directions →

Provider Business Mailing Address Details

Address
181 Franklin Ave Ste 301
Nutley, NJ 07110-2900
City
Nutley
State
NJ
Zip
07110-2900
Phone Number
973-320-2625
Fax Number
973-320-2626

License Information

License Number (1)
C186495
License State (1)
CA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
25MA10651000
License State (2)
NJ
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
100202
License State (3)
GA
Taxonomy (3)
Family Medicine · 207Q00000X
License Number (4)
300854
License State (4)
NY
Taxonomy (4)
Family Medicine · 207Q00000X · Primary
License Number (5)
91589
License State (5)
SC
Taxonomy (5)
Family Medicine · 207Q00000X
License Number (6)
U6779
License State (6)
TX
Taxonomy (6)
Family Medicine · 207Q00000X

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 Raphael O Odekunle, MD?

The NPI number of Raphael O Odekunle, MD is 1497108690. It was assigned on July 22, 2016 and is currently active in the NPPES registry.

What is the specialty of Raphael O Odekunle, MD?

Raphael O Odekunle, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CA under license number C186495.

Where does Raphael O Odekunle, MD practice?

The practice location is 181 Franklin Ave Ste 301, Nutley, NJ 07110-2900. The office can be reached at 973-320-2625 (phone) or 973-320-2626 (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 1497108690 directly on the NPPES registry website.

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