Individual provider Active NPI

Olaitan Babarinde

  • Primary Care Nurse Practitioner
  • North Plainfield, NJ
National Provider Identifier
1184491102
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ14932300 Issued in NJ
Practice address
25 Craig PL
North Plainfield, NJ 07060-4777
Phone
(908) 791-9993
Fax
(908) 791-9995
NPI assigned
Dec 11, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ14932300 NJ Primary

Addresses

Primary practice location

25 Craig PL
North Plainfield, NJ 07060-4777

Mailing address

25 Craig PL
North Plainfield, NJ 07060-4777
Phone (908) 791-9993

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250418001571 NJ Practitioner - Nurse Practitioner 8123543493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Center CurrentSince Jan 9, 2025 Accepting new patients

Locations

25 Craig Pl
North Plainfield, NJ 07060
Phone (908) 303-8514

906 Oak Tree Ave
Ste C
South Plainfield, NJ 07080
Phone (908) 755-8484

676 Amboy Ave
Woodbridge, NJ 07095
Phone (732) 636-2900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFEAAA/Endpoint/FFEAAA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1184491102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CRAIG PL",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604777",
            "telephone_number": "908-791-9993",
            "fax_number": "908-791-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CRAIG PL",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604777",
            "telephone_number": "908-791-9993",
            "fax_number": "908-791-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABARINDE",
        "first_name": "OLAITAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ14932300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.