NPIMap

Individual provider Active NPI

Henry Odunlami, MD

  • Psychiatry Physician
  • Bridgewater, NJ
National Provider Identifier
1174570212
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA07291000 Issued in NJ
Practice address
380 Foothill Rd Ste 1
Bridgewater, NJ 08807-2255
Phone
(908) 231-0511
Fax
(908) 231-1115
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA07291000 NJ Primary

Addresses

Primary practice location

380 Foothill Rd Ste 1
Bridgewater, NJ 08807-2255

Mailing address

981 US Highway 22
Suite 200
Bridgewater, NJ 08807-2946
Phone (908) 231-0511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051207000314 NJ Practitioner - Psychiatry 4587683669 Reassigns benefits to 1 organization
I20231011001309 FL Practitioner - Psychiatry 4587683669

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

380 Foothill Rd
Bridgewater, NJ 08807-2255
Phone (908) 231-0511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07291000NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Behavioral Health Network LLC Psychiatry CurrentSince Nov 8, 2025 Accepting new patients
Genpsych Marlboro Psychiatry CurrentSince Dec 10, 2023 Accepting new patients
Genpsych Personal Care Current Accepting new patients
Genpsych, Inc Psychiatry CurrentSince Oct 8, 2005 Accepting new patients
Specialty Care of Practice Associates,PA Past Accepting new patients
Genpsych PC Bridgewater Psychiatry Past Accepting new patients
Genpsych Flemington Psychiatry Past Accepting new patients
Genpsych LLC Psychiatry Past Accepting new patients
Genpsych Avenel Psychiatry Past Accepting new patients
Genpsych PC Princeton Psychiatry Past Accepting new patients
Genpsych, LLC Past Accepting new patients
Genpsych Princeton Psychiatry Past Accepting new patients
Genpsych Brick Psychiatry Past Accepting new patients
Genpsych Rochelle Park Psychiatry Past Accepting new patients
Genpsych Bridgewater Psychiatry Past Accepting new patients
Genpsych Livingston Psychiatry Past Accepting new patients
Practice Associates,Inc Psychiatry Past Accepting new patients

Locations

1661 Route 22 W
Ste 200
Bound Brook, NJ 08805
Phone (732) 356-3255

981 US Highway 22
Ste 200
Bridgewater, NJ 08807

1065 US Highway 22
Ste 3
Bridgewater, NJ 08807
Phone (908) 526-8370

380 Foothill Rd
Ste 1
Bridgewater, NJ 08807
Phone (908) 231-0511

380 Foothill Rd
Bridgewater, NJ 08807
Phone (908) 231-0511

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1174570212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 US HIGHWAY 22",
            "address_2": "SUITE 200",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072946",
            "telephone_number": "908-231-0511",
            "fax_number": "908-231-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 FOOTHILL RD STE 1",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072255",
            "telephone_number": "908-231-0511",
            "fax_number": "908-231-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUNLAMI",
        "first_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07291000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.