Abake Health and Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ABAKE HEALTH AND WELLNESS LLC

Practice address

445 Marshall St
Phillipsburg, NJ 08865-2695

Phone

(973) 517-3553

Fax

(973) 710-3098

NPI assigned

Mar 12, 2021

Last updated

Mar 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olusolape Akinyemi, DNPNPI 1598251662

Title

Director

Phone

(973) 517-3553

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olusolape Margaret Akinyemi, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bridgewater, NJ
  • NPI 1598251662
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1194300947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 MARSHALL ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652695",
            "telephone_number": "973-517-3553",
            "fax_number": "973-710-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 MARSHALL ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652695",
            "telephone_number": "973-517-3553",
            "fax_number": "973-710-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABAKE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "AKINYEMI",
        "authorized_official_first_name": "OLUSOLAPE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-517-3553",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.