Charis Care LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CHARIS CARE LLC

Practice address

100 Matawan Rd Ste 325
Matawan, NJ 07747-3590

Phone

(929) 625-1366

Fax

(929) 299-1561

NPI assigned

Jul 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Abimbola G. Adetola, DNPNPI 1164012399

Title

Apn

Phone

(929) 625-1366

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abimbola G. Adetola, DNP, APN, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Highlands, NJ
  • NPI 1164012399

  Family

  NPD Authorized official

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1023855269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 LOCKWOOD AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953615",
            "telephone_number": "732-675-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MATAWAN RD STE 325",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473590",
            "telephone_number": "929-625-1366",
            "fax_number": "929-299-1561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Green St Unit 4-126",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "NJ",
            "postal_code": "070953390",
            "country_code": "US",
            "telephone_number": "929-625-1366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40, Union Ave,",
            "address_2": "Suite #206",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "07083",
            "country_code": "US",
            "telephone_number": "929-625-1366",
            "fax_number": "929-299-1561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARIS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-19",
        "status": "A",
        "authorized_official_last_name": "ADETOLA",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "929-625-1366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Matawan, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.