Active NPIIndividual providerSole proprietor

Dr. Oluwarotimi T Aborisade, PMHNP

Nurse Practitioner, Psych/Mental Health in Saint Albans, New York

NPI Number1578182333
Practice location
11917 202ND St, Saint Albans, NY 11412-3815
Fax
—
Last updated
August 24, 2026

Oluwarotimi Tunde Aborisade is a Nurse Practitioner, Psych/Mental Health based in Saint Albans, NY. Oluwarotimi Tunde Aborisade practices in Saint Albans, NY and has the professional credentials of PMHNP. The NPI Number for Oluwarotimi Tunde Aborisade is 1578182333 and holds a License No. 26NR25007100 (NJ). The current practice location address for Oluwarotimi Tunde Aborisade is 11917 202ND St, Saint Albans, NY 11412-3815 and can be reached out via phone at 347-567-6635.

Provider Profile Details

NPI Number
1578182333
Provider Name
Oluwarotimi Tunde Aborisade
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
11917 202ND St, Saint Albans, NY 11412-3815
Phone Number
347-567-6635
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
April 13, 2020
Last Update Date
August 24, 2026
Certification Date
August 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
11917 202ND St
Saint Albans, NY 11412-3815
Zip
11412-3815
Phone Number
347-567-6635
Saint Albans, NY 11412Get directions →

Provider Business Mailing Address Details

Address
11917 202ND St
Saint Albans, NY 11412-3815
City
Saint Albans
State
NY
Zip
11412-3815
Phone Number
347-567-6635

License Information

License Number (1)
26NR25007100
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NJ15447700
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
407831
License State (3)
NY
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (4)
743164
License State (4)
NY
Taxonomy (4)
Registered Nurse · 163W00000X

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 Dr. Oluwarotimi T Aborisade, PMHNP?

The NPI number of Dr. Oluwarotimi T Aborisade, PMHNP is 1578182333. It was assigned on April 13, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Oluwarotimi T Aborisade, PMHNP?

Dr. Oluwarotimi T Aborisade, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NR25007100.

Where does Dr. Oluwarotimi T Aborisade, PMHNP practice?

The practice location is 11917 202ND St, Saint Albans, NY 11412-3815. The office can be reached at 347-567-6635 (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 1578182333 directly on the NPPES registry website.

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