Individual provider Active NPI

Oluwaseun Titilope Adeoti, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Vauxhall, NJ
National Provider Identifier
1013565886
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00948800 Issued in NJ
Practice address
20 May Ter
Vauxhall, NJ 07088-1212
Phone
(908) 296-7963
Fax
(973) 351-1288
NPI assigned
Aug 26, 2019
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00948800 NJ
Family Nurse Practitioner 363LF0000X F344464-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00948800 NJ Primary

Addresses

Primary practice location

20 May Ter
Vauxhall, NJ 07088-1212

Mailing address

20 May Ter
Vauxhall, NJ 07088-1212
Phone (908) 296-7963

Other names 1

  • Miss Oluwaseun Titilope Omodara Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130003856 NJ Practitioner - Nurse Practitioner 5890143853 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

252 Route 601
Belle Mead, NJ 08502-3923
Phone (908) 281-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F344464-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HMH Carrier Behavioral Health Inc CurrentSince Oct 18, 2023 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Jun 28, 2025 Accepting new patients
Stadd Med Consult Family CurrentSince Mar 24, 2025 Accepting new patients

Locations

252 Route 601
Belle Mead, NJ 08502
Phone (800) 379-1949

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1013565886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAY TER",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881212",
            "telephone_number": "908-296-7963",
            "fax_number": "973-351-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAY TER",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881212",
            "telephone_number": "908-296-7963",
            "fax_number": "973-351-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEOTI",
        "first_name": "OLUWASEUN",
        "middle_name": "TITILOPE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00948800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344464-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00948800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUWASEUN",
            "last_name": "OMODARA",
            "middle_name": "TITILOPE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vauxhall, NJ

Sources for this page

Verify at the official NPI Registry.