Individual provider Active NPI

Adebisi A Osho-Okunnubi, FNP

  • Family Nurse Practitioner
  • Perth Amboy, NJ
National Provider Identifier
1194243592
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00756100 Issued in NJ
Practice address
275 Hobart St
Perth Amboy, NJ 08861
Phone
(732) 327-9333
Fax
(732) 324-5765
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00756100 NJ Primary

Addresses

Primary practice location

275 Hobart St
Perth Amboy, NJ 08861

Mailing address

275 Hobart St
Perth Amboy, NJ 08861-3396
Phone (732) 376-9333

Other identifiers 1

IdentifierTypeStateIssuer
0583821MedicaidNJ

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
I20171108000966 NJ Practitioner - Nurse Practitioner 3870859804 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Titan Health Partners LLCGroup PAC ID 3971915349, 98 clinicians

Practice addresses (Care Compare)

3 Progress St
Suite 100
Edison, NJ 08820-1180
Phone (908) 757-9696

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00756100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Titan Health Partners LLC CurrentSince Jan 1, 2025 Accepting new patients
Central Jersey Medical Center, Inc CurrentSince Oct 16, 2017 Accepting new patients
Titan Health Partners LLC CurrentSince Jan 1, 2025 Accepting new patients
Neighborhood Health Services Corporation CurrentSince Oct 1, 2020 Accepting new patients
Neighborhood Health Services Corporation CurrentSince Oct 1, 2020 Accepting new patients
Titan Health Partners LLC Past Accepting new patients

Locations

629 Cranbury Rd
#2
East Brunswick, NJ 08816
Phone (570) 468-1555

3 Progress St
Ste 100
Edison, NJ 08820
Phone (908) 757-9696

34-36 Progress St
Ste B
Edison, NJ 08820

80 Johnson Ave
Newark, NJ 07108
Phone (973) 623-8592

275 Hobart St
Perth Amboy, NJ 08861
Phone (732) 376-6635

1700 Myrtle Ave
#58
Plainfield, NJ 07063
Phone (908) 753-6401

201 State Rt 17
Fl 11
Rutherford, NJ 07070
Phone (201) 500-4958

601 Route 37 W
Ste 101
Toms River, NJ 08755
Phone (732) 240-4545

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4
  • Direct secure messaging: adebisi.oshookunnubinp.p1@direct.nhscnj.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1194243592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HOBART ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613396",
            "telephone_number": "732-376-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HOBART ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-327-9333",
            "fax_number": "732-324-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHO-OKUNNUBI",
        "first_name": "ADEBISI",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00756100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0583821",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.