ABIMBOLA OTUFALE


Address: 252b Camden St, Newark, NJ 07103-2434
Phone: 5162254296

ABIMBOLA OTUFALE (NPI# 1508464397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508464397
Entity Type Individual
Full Name ABIMBOLA OTUFALE
Practice Address 252b Camden St
Newark
NJ 07103-2434
Practice Telephone 5162254296
Enumeration Date 2020-10-13
Last Update Date 2020-10-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
346031 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 252B CAMDEN ST
City NEWARK
State NJ
Zip Code 07103-2434

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1124657077 Yingna Liu Student in an Organized Health Care Education/Training Program Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 2020-04-03
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1972168482 Newark Renaissance House, Inc Rehabilitation, Substance Use Disorder Unit 50-56 Norfolk Street, Newark, NJ 07103 2019-05-09
1346709235 Ian Wang Yu Student in an Organized Health Care Education/Training Program 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 2019-03-19
1437648417 Stephen Vanbeek Internal Medicine 185 S Orange Ave Rm 547, Newark, NJ 07103 2018-05-06
1073019444 Geoffrey Alexander Talis Student in an Organized Health Care Education/Training Program 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 2018-04-03
1285139907 Thomas Georg Bachmann Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 2018-03-26
1154825289 Shammi A Patel Student in an Organized Health Care Education/Training Program 185 S Orange Ave # Msbg594, Newark, NJ 07103 2018-03-22
1982122545 North Jersey Aids Alliance Clinic/Center 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 2017-09-05
1134655533 Yasmin N Abedin Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 2017-05-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1851990600 Brandy Baker Nurse Practitioner 494 Yorkshire Dr, Newark, OH 43055-1522 2020-10-22
1033755608 Christine Nophut Nurse Practitioner 17 Polly Drummond Shpg Ctr, Newark, DE 19711-4820 2019-11-19
1215578091 Lucy Ogechi Efobi Nurse Practitioner 194 Clinton Ave Lowr Level, Newark, NJ 07108-2809 2019-10-03
1518518323 Jasmine Barksdale Nurse Practitioner 4110 Ogletown Stanton Rd, Newark, DE 19713-4169 2019-09-23
1467013136 Getrude Tate Nguatem Nurse Practitioner Churchman Vlg, Newark, DE 19713-2068 2019-06-24
1285298679 Olufolake Remi Adepoju Nurse Practitioner 258 Chapman Rd, Newark, DE 19702-5445 2019-05-01
1285100420 Vida Araba Paintsil Nurse Practitioner University Hospital- Nursing Office, 90 Bergen Street, Newark, NJ 07102-0710 2018-10-15
1992291280 Palak Praful Desai Nurse Practitioner 1 Chestnut Hill Plz, Newark, DE 19713-2701 2018-07-10
1023502564 Stacey Dawn Myers Nurse Practitioner 4755 Ogletown Stanton Rd Ste 1320, Newark, DE 19718-2953 2018-06-19
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Competitor

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City NEWARK
Zip Code 07103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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