Abake Health and Wellness LLC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Phillipsburg, NJ

NPI 1194300947 · NPPES record last updated Mar 12, 2021

Key facts

NPI: 1194300947
Entity type: Organization (NPI type 2)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 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
Organization subpart: No

Authorized official

Name: Olusolape Akinyemi, DNP NPI 1598251662
Title: Director
Phone: (973) 517-3553

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Olusolape Margaret Akinyemi, APN Psychiatric/Mental Health Nurse Practitioner · Bridgewater, NJ · NPI 1598251662

Medicare reassignment NPD Authorized official NJ · PSYCHIATRIC/MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NJ

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20210923003726	NJ	Part B Supplier - Clinic/Group Practice	3870901473	Receives reassigned benefits from 1 practitioner Practice locations: Phillipsburg, NJ

National Provider Directory

Locations

445 Marshall St
Ste 143
Phillipsburg, NJ 08865
Phone (862) 215-4639

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner Group: 193400000X SINGLE SPECIALTY GROUP	363LP0808X			Yes

Addresses

Primary practice location

445 Marshall St
Phillipsburg, NJ 08865-2695

Mailing address

445 Marshall St
Phillipsburg, NJ 08865-2695
Phone (973) 517-3553

Other providers in Phillipsburg, NJ

All providers in Phillipsburg, NJ · Psychiatric/Mental Health Nurse Practitioner in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.