Abisoye M Otunuga
Nurse Practitioner, Psych/Mental Health in Newark, New Jersey
1659098416- Practice location
- 12 Bayard Pl, Newark, NJ 07106-3634
- Phone
- 201-349-6816
- Fax
- —
- Last updated
- March 11, 2025
Abisoye M. Otunuga is a Nurse Practitioner, Psych/Mental Health based in Newark, NJ. Abisoye M. Otunuga practices in Newark, NJ. The NPI Number for Abisoye M. Otunuga is 1659098416 and holds a License No. 26NJ01349400 (NJ). The current practice location address for Abisoye M. Otunuga is 12 Bayard Pl, Newark, NJ 07106-3634 and can be reached out via phone at 201-349-6816.
Provider Profile Details
- NPI Number
- 1659098416
- Provider Name
- Abisoye M. Otunuga
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12 Bayard Pl, Newark, NJ 07106-3634
- Phone Number
- 201-349-6816
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 24, 2022
- Last Update Date
- March 11, 2025
- Certification Date
- March 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Bayard Pl
Newark, NJ 07106-3634 - City
- Newark
- State
- New Jersey
- Zip
- 07106-3634
- Phone Number
- 201-349-6816
Provider Business Mailing Address Details
- Address
- 240 Central Ave
East Orange, NJ 07018-3313 - City
- East Orange
- State
- NJ
- Zip
- 07018-3313
- Phone Number
- 201-349-6816
- Fax Number
- 973-414-6730
License Information
- License Number
- 26NJ01349400
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Abisoye M Otunuga?
The NPI number of Abisoye M Otunuga is 1659098416. It was assigned on October 24, 2022 and is currently active in the NPPES registry.
What is the specialty of Abisoye M Otunuga?
Abisoye M Otunuga is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ01349400.
Where does Abisoye M Otunuga practice?
The practice location is 12 Bayard Pl, Newark, NJ 07106-3634. The office can be reached at 201-349-6816 (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 1659098416 directly on the NPPES registry website.