Individual provider Active NPI

Abiodun Akinola Olatubosun, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomfield, NJ
National Provider Identifier
1215531678
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01084300 Issued in NJ
Practice address
156 Baldwin PL
Bloomfield, NJ 07003-6036
Phone
(862) 220-0914
Fax
(862) 306-1037
NPI assigned
Nov 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01084300 NJ Primary

Addresses

Primary practice location

156 Baldwin PL
Bloomfield, NJ 07003-6036

Mailing address

156 Baldwin PL
Bloomfield, NJ 07003-6036
Phone (862) 220-0914

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
I20210429001165 NJ Practitioner - Nurse Practitioner 1153730387 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Internal Medicine of Morris County LLCGroup PAC ID 2466428388, 77 clinicians
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians
Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

25 Pocono Rd
Denville, NJ 07834-2954
Phone (973) 927-5788

308 Willow Ave
Hoboken, NJ 07030-3808
Phone (201) 418-1000

569 N 5TH St
Newark, NJ 07107-2630
Phone (862) 220-0914

765 Route 70 E
BLDG a
Marlton, NJ 08053-2341
Phone (856) 983-3900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Guidance, PC Psychiatric/Mental Health CurrentSince Jan 1, 2023 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Feb 11, 2021 Accepting new patients
Life Span Wellness LLC Psychiatric/Mental Health CurrentSince Mar 18, 2024 Accepting new patients

Locations

333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: abiodun.olatubosunapn.p1@direct.cfg.nextgenshare.com

Organizations & group practices 4

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": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1215531678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 BALDWIN PL",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070036036",
            "telephone_number": "862-220-0914",
            "fax_number": "862-306-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 BALDWIN PL",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070036036",
            "telephone_number": "862-220-0914",
            "fax_number": "862-306-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLATUBOSUN",
        "first_name": "ABIODUN",
        "middle_name": "AKINOLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-25",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01084300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.