Adewale Adefowoju, MSN, APN-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00196200 Issued in NJ

Practice address

1379 Brookfall Ave
Union, NJ 07083-7013

Phone

(908) 693-5036

NPI assigned

Jun 4, 2009

Last updated

Apr 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Mount Carmel Guild Behavioral HealthGroup PAC ID 2668428780, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Grace Medical Consult

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvington, NJ
  • NPI 1104370915
  Medicare reassignment NPD Authorized official
• Mount Carmel Guild Behavioral Health System

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newark, NJ
  • NPI 1689074601
  Medicare reassignment Care Compare group NPD
• Grace Medical Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hoboken, NJ
  • NPI 1881217685
  NPD Authorized official
• Mount Carmel Guild Behavioral Health System

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newark, NJ
  • NPI 1174854749
  NPD
• Comprehensive Geriatric Care LLC

  • Clinical Social Worker
  • Lakewood, NJ
  • NPI 1821036302
  NPD (past)
• L&a Absolute Care LLC

  • Psychiatry Physician
  • Irvington, NJ
  • NPI 1134634462
  NPD (past)
• Sunrise Care, LLC

  dba Mount Pleasant Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newark, NJ
  • NPI 1477792463
  NPD (past)
• Advanced Behavioral Health

  • Psychologist
  • Philadelphia, PA
  • NPI 1952570558

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1114153186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 BROOKFALL AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837013",
            "telephone_number": "908-693-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 BROOKFALL AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837013",
            "telephone_number": "908-693-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEFOWOJU",
        "first_name": "ADEWALE",
        "credential": "MSN, APN-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00196200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Union, NJ
• Providers in Union, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.