Individual provider Active NPI

Henry Adewole Ibitokun, APN-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Iselin, NJ
National Provider Identifier
1194109744
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61303774 Issued in WA
Practice address
200 Middlesex Tpke Ste 210
Iselin, NJ 08830-2033
Phone
(315) 610-6702
Fax
(315) 610-6703
NPI assigned
Jul 14, 2015
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 307386 NY
Adult Health Nurse Practitioner 363LA2200X 26NJ00578600 NJ
Family Nurse Practitioner 363LF0000X F348698-01 NY
Family Nurse Practitioner 363LF0000X 26NJ00578600 NJ
Family Nurse Practitioner 363LF0000X 11683 CT
Gerontology Nurse Practitioner 363LG0600X 26NJ00578600 NJ
Gerontology Nurse Practitioner 363LG0600X 307386 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404894 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00578600 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61303774 WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11683 CT

Addresses

Primary practice location

200 Middlesex Tpke Ste 210
Iselin, NJ 08830-2033

Mailing address

200 Middlesex Essex Tpke Ste 210
Iselin, NJ 08830-2033
Phone (315) 610-6702

Other practice location 1

933 N Washington Ave Ste 2C
Green Brook, NJ 08812-2600
Phone (469) 257-3504

Other practice location 2

88 Roosevelt Ave Apt 105
Carteret, NJ 07008-2583
Phone (908) 279-5785

Other practice location 3

245 Bayville Ave
Bayville, NJ 08721-1050
Phone (732) 760-2043

Other practice location 4

100 N Howard St Ste W
Spokane, WA 99201-0508
Phone (315) 610-6702

Other practice location 5

10 N Wood Ave Ste B2
Linden, NJ 07036-5200
Phone (315) 610-6702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, WA, CT, AZ, DC6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20150813009772 NJ Practitioner - Nurse Practitioner 7618282153 Reassigns benefits to 5 organizations
I20211115000549 NY Practitioner - Nurse Practitioner 7618282153 Reassigns benefits to 3 organizations
I20230719003089 WA Practitioner - Nurse Practitioner 7618282153 Reassigns benefits to 3 organizations
I20241014002163 CT Practitioner - Nurse Practitioner 7618282153 Reassigns benefits to 2 organizations
I20241015002557 AZ Practitioner - Nurse Practitioner 7618282153 Reassigns benefits to 1 organization
I20250908002180 DC Practitioner - Nurse Practitioner 7618282153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H and O Family and Adult Health Nurse Practitioner PLLCGroup PAC ID 4981094216, 2 clinicians
Dominion HealthGroup PAC ID 0244655983, 2 clinicians

Practice addresses (Care Compare)

100 N Howard St
Suite W
Spokane, WA 99201-0508
Phone (908) 613-8182

2025 Central Park Ave
Suite 203
Yonkers, NY 10710-2427
Phone (401) 952-8675

2095 S Main St
Suite 9 B
Waterbury, CT 06706-2029
Phone (315) 610-6702

933 N Washington Ave
Suite 2C
Green Brook, NJ 08812-2600
Phone (201) 887-0029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F348698-01NYMDFamily Nurse Practitioner
11683CTMDPsychiatric/Mental Health Nurse Practitioner
26NJ00578600NJMDPsychiatric/Mental Health Nurse Practitioner
404894NYMDPsychiatric/Mental Health Nurse Practitioner
AP61303774WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital CurrentSince Aug 5, 2019 Accepting new patients
Dominion Health Psychiatric/Mental Health CurrentSince Aug 22, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 17, 2024 Accepting new patients
University Hospital CurrentSince Aug 5, 2019 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Jul 7, 2023 Accepting new patients
Ace Virtual Healthcare Family CurrentSince Oct 29, 2023 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Jun 17, 2024 Accepting new patients
Henry Ibitokun LLC Family PastSince Oct 1, 2023 Accepting new patients
Orenda Psychiatry PLLC Psychiatric/Mental Health Past Accepting new patients
Rutgers Nursing Faculty Practice Past Accepting new patients

Locations

721 Depot Dr
Anchorage, AK 99501
Phone (201) 293-7689

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233

933 N Washington Ave
Ste 2C
Green Brook, NJ 08812
Phone (201) 887-0029

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

200 Clifton Ave
Lakewood, NJ 08701
Phone (201) 918-5521

205 S Orange Ave
#B1425
Newark, NJ 07103
Phone (973) 972-3125

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

101 Elliott Ave W
Ste 500
Seattle, WA 98119
Phone (206) 708-6432

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: hibitokun1343700@nychhc.direct-ci.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1194109744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MIDDLESEX ESSEX TPKE STE 210",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302033",
            "telephone_number": "315-610-6702",
            "fax_number": "315-610-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MIDDLESEX TPKE STE 210",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302033",
            "telephone_number": "315-610-6702",
            "fax_number": "315-610-6703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 N Washington Ave Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Green Brook",
            "state": "NJ",
            "postal_code": "088122600",
            "country_code": "US",
            "telephone_number": "469-257-3504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Roosevelt Ave Apt 105",
            "address_purpose": "LOCATION",
            "city": "Carteret",
            "state": "NJ",
            "postal_code": "070082583",
            "country_code": "US",
            "telephone_number": "908-279-5785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Bayville Ave",
            "address_purpose": "LOCATION",
            "city": "Bayville",
            "state": "NJ",
            "postal_code": "087211050",
            "country_code": "US",
            "telephone_number": "732-760-2043",
            "fax_number": "856-283-2821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Howard St Ste W",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010508",
            "country_code": "US",
            "telephone_number": "315-610-6702",
            "fax_number": "315-610-6703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 N Wood Ave Ste B2",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "NJ",
            "postal_code": "070365200",
            "country_code": "US",
            "telephone_number": "315-610-6702",
            "fax_number": "315-610-6703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBITOKUN",
        "first_name": "HENRY",
        "middle_name": "ADEWOLE",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307386",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00578600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348698-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00578600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11683",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00578600",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "307386",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404894",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00578600",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61303774",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "11683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.