Active NPI
Tolulope Abimbola Adekanla, NP
- Family Nurse Practitioner
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ14967700
- Practice address
- 65 Bergen St
Newark, NJ 07107-3001 - Phone
- (973) 393-3479
- NPI assigned
- Dec 5, 2023
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Hillsborough, NJ
- NPI 1700552106
-
- Geriatric Medicine (Internal Medicine) Physician
- Lyndhurst, NJ
- NPI 1972044923
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240530001313 | NJ | Practitioner - Nurse Practitioner | 3971945304 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Care LLC | Current | Accepting new patients | |
| Signify Health Medical Associates of New Jersey, LLC | Current | Accepting new patients | |
| Medical Service Professionals of NJ LLC | Current | Accepting new patients |
Locations
811 Courtyard Dr
Hillsborough, NJ 08844
Phone (908) 722-0321
30 Montgomery St
Fl 15
Jersey City, NJ 07302
Phone (551) 247-1029
125 Chubb Ave
Ste 100S
Lyndhurst, NJ 07071
Phone (201) 559-7600
116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- tolulope.adekanla.1@24114.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ14967700 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
65 Bergen St
Newark, NJ 07107-3001
Mailing address
1391 Omara Dr
Union, NJ 07083-5210
Phone (973) 393-3474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 5, 2023.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1043087638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1391 OMARA DR",
"city": "UNION",
"state": "NJ",
"postal_code": "070835210",
"telephone_number": "973-393-3474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 BERGEN ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071073001",
"telephone_number": "973-393-3479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEKANLA",
"first_name": "TOLULOPE",
"middle_name": "ABIMBOLA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-05",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ14967700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.