Adewumi Adetayo, APN
Individual provider Active NPI Family Nurse Practitioner · Perth Amboy, NJ
NPI 1043033400 · NPPES record last updated Feb 17, 2026
Key facts
- NPI
- 1043033400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ15200700 (NJ)
- Practice address
- 275 Hobart St
Perth Amboy, NJ 08861-3396 - Phone
- (732) 376-9333
- NPI assigned
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Jersey Medical Center Inc.
Practice addresses (Care Compare)
80 Johnson Ave
Newark, NJ 07108-2729
Phone (973) 623-8592
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250331001117 | NJ | Practitioner - Nurse Practitioner | 7214450345 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ15200700 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Jersey Medical Center, Inc | Current |
Accepting new patients | |
| Central Jersey Medical Center, Inc. | Current |
Accepting new patients |
Locations
1540 Roosevelt Ave
Carteret, NJ 07008
Phone (732) 376-6650
80 Johnson Ave
Newark, NJ 07108
Phone (973) 623-8592
359 13th Ave
Newark, NJ 07103
Phone (973) 679-7709
246 18th Ave
Newark, NJ 07108
Phone (732) 376-9333
275 Hobart St
Perth Amboy, NJ 08861
Phone (732) 376-6635
Interoperability endpoints
- adewumi.adetayo.1@16647.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ15200700 | NJ | Yes |
Addresses
Primary practice location
275 Hobart St
Perth Amboy, NJ 08861-3396
Mailing address
PO Box 1220
Perth Amboy, NJ 08862-1220
Phone (732) 376-9333
Other providers in Perth Amboy, NJ
- Accredited Health Services
- Accredited Health Services, Inc.
- Elisa I Acosta
- Acupuncture Healthcare Plaza II PC
- Elizabeth Olansile Adelakun
- Joy Adjekum
- Chioma Afoke
- Aftab Husain, M.D, PA
- Aftab Husain, M.D, PA
- Samar Gamal Agban
All providers in Perth Amboy, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.