Individual provider Active NPI

Tolulope Abimbola Adekanla, NP

  • Family Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1043087638
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14967700 Issued in NJ
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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Anchor Care LLC CurrentSince May 28, 2024 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Jan 11, 2025 Accepting new patients
Medical Service Professionals of NJ LLC CurrentSince Nov 6, 2025 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

  • Direct secure messaging: tolulope.adekanla.1@24114.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14967700 NJ Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.