Active NPIIndividual providerSole proprietor

Bola Ladeji-Kuku

Nurse Practitioner, Family in East Orange, New Jersey

NPI Number1639015340
Practice location
79 Stockton Pl, East Orange, NJ 07017-5208
Fax
—
Last updated
May 18, 2026

Bola Ladeji-Kuku is a Nurse Practitioner, Family based in East Orange, NJ. Bola Ladeji-Kuku practices in East Orange, NJ. The NPI Number for Bola Ladeji-Kuku is 1639015340 and holds a License No. F359689 (NY). The current practice location address for Bola Ladeji-Kuku is 79 Stockton Pl, East Orange, NJ 07017-5208 and can be reached out via phone at 201-301-4388.

Provider Profile Details

NPI Number
1639015340
Provider Name
Bola Ladeji-Kuku
Provider Entity Type
Individual
Gender
Female
Address
79 Stockton Pl, East Orange, NJ 07017-5208
Phone Number
201-301-4388
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
April 25, 2026
Last Update Date
May 18, 2026
Certification Date
May 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
79 Stockton Pl
East Orange, NJ 07017-5208
Zip
07017-5208
Phone Number
201-301-4388
East Orange, NJ 07017Get directions →

Provider Business Mailing Address Details

Address
79 Stockton Pl
East Orange, NJ 07017-5208
City
East Orange
State
NJ
Zip
07017-5208
Phone Number
201-301-4388

License Information

License Number (1)
F359689
License State (1)
NY
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
26NR12589900
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Bola Ladeji-Kuku?

The NPI number of Bola Ladeji-Kuku is 1639015340. It was assigned on April 25, 2026 and is currently active in the NPPES registry.

What is the specialty of Bola Ladeji-Kuku?

Bola Ladeji-Kuku is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number F359689.

Where does Bola Ladeji-Kuku practice?

The practice location is 79 Stockton Pl, East Orange, NJ 07017-5208. The office can be reached at 201-301-4388 (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 1639015340 directly on the NPPES registry website.

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