Dominion Health
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Bayville, NJ
NPI 1235757485 · NPPES record last updated Nov 3, 2025
Key facts
- NPI
- 1235757485
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- DOMINION HEALTH
- Practice address
- 245 Bayville Ave
Bayville, NJ 08721-1050 - Phone
- (469) 257-3500
- NPI assigned
- Jul 13, 2020
- Organization subpart
- No
Authorized official
- Name
- Mr. Adebayo Arowolo, NP
- Title
- Ceo
- Phone
- (469) 257-3500
Practitioners 4
-
Adebayo M Arowolo, DNP, PMHNP, APN-C
-
Henry Adewole Ibitokun, APN-C
-
Adetutu Zainab Ogunmefun, FNP, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200729000923 | NJ | Part B Supplier - Clinic/Group Practice | 0244655983 |
Receives reassigned benefits from 4 practitioners Practice locations: Green Brook, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
245 Bayville Ave
Bayville, NJ 08721-1050
Mailing address
245 Bayville Ave
Bayville, NJ 08721-1050
Phone (469) 257-3500
Other providers in Bayville, NJ
- Melissa Delizia
- Delta Community Supports, Inc.
- Stephanie Derosa
- Roger Eric Desch
- Dawn Di Stefano
- Lauren Donnelly
- Brianna Isabelle Dorso
- Dunn Dental PC
- Arielle Dymyd
- Lillian Emme
All providers in Bayville, 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 Nov 3, 2025. 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.