Active NPI
Henry Adewole Ibitokun, APN-C
- Psychiatric/Mental Health Nurse Practitioner
- Iselin, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61303774
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| F348698-01 | NY | MD | Family Nurse Practitioner |
| 11683 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
| 26NJ00578600 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 404894 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP61303774 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital | Current | Accepting new patients | |
| Dominion Health | Psychiatric/Mental Health | Current | Accepting new patients |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| University Hospital | Current | Accepting new patients | |
| Mindful Therapy Group PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Ace Virtual Healthcare | Family | Current | Accepting new patients |
| Grow Healthcare Group of New Jersey PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Henry Ibitokun LLC | Family | Past | 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
- 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.
-
dba H & O Clinical
- Psychiatric/Mental Health Nurse Practitioner
- Yonkers, NY
- NPI 1932776952
CT, NJ, WA
-
- Psychiatric/Mental Health Nurse Practitioner
- Bayville, NJ
- NPI 1235757485
-
- Mental Health Counselor
- Hoboken, NJ
- NPI 1841949328
Psychiatric/Mental Health
-
- Acute Care Nurse Practitioner
- Newark, NJ
- NPI 1033494430
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
AZ, CT, DC, NY, Psychiatric/Mental Health, WA
-
dba Mindful Therapy Group
- Clinical Social Worker
- Mountlake Terrace, WA
- NPI 1316238678
Psychiatric/Mental Health
-
dba Kraftedcare.com
- Psychiatric/Mental Health Nurse Practitioner
- Linden, NJ
- NPI 1588436505
Family
-
- Psychiatric/Mental Health Nurse Practitioner
- Bayville, NJ
- NPI 1679449839
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- Community/Retail Pharmacy
- Newark, NJ
- NPI 1306596390
-
dba Rutgers Community Health Center
- Community Health Clinic/Center
- Newark, NJ
- NPI 1710475322
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.