Active NPI
Abiodun Akinola Olatubosun, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Bloomfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ01084300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Guidance, PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| Life Span Wellness LLC | Psychiatric/Mental Health | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Geriatric Psychiatry Physician
- Marlton, NJ
- NPI 1508803388
Psychiatric/Mental Health
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Psychiatric/Mental Health Nurse Practitioner
- Bloomfield, NJ
- NPI 1356036529
-
- Internal Medicine Physician
- Mine Hill, NJ
- NPI 1568570489
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.