Bayowa Nelson Ajidahun, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ15146100 Issued in NJ

Practice address

750 Brunswick Ave
Trenton, NJ 08638-4143

Phone

(609) 394-6000

NPI assigned

Sep 12, 2024

Last updated

Dec 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Success TMS Professional Services New Jersey LLCGroup PAC ID 9638592249, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Success TMS Professional Services New Jersey LLC

  • Psychiatry Physician
  • Paramus, NJ
  • NPI 1790309862
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1316773773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 TUXEDO CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273789",
            "telephone_number": "201-349-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BRUNSWICK AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086384143",
            "telephone_number": "609-394-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Herrontown Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085407716",
            "country_code": "US",
            "telephone_number": "973-954-4592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 W Main St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077284832",
            "country_code": "US",
            "telephone_number": "973-954-4592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Apple St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Tinton Falls",
            "state": "NJ",
            "postal_code": "077242670",
            "country_code": "US",
            "telephone_number": "973-954-4592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJIDAHUN",
        "first_name": "BAYOWA",
        "middle_name": "NELSON",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15146100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed M Ahmed
• Najira Ahmed, DO
• Ridha Ahmed
• Irina Ahn, MD
• Jasmine Kaur Ahuja, M.D
• Luma A Al Dabbagh, MD
• Aida Albino-Wimbush, LCADC
• Alexey Alekseev, MD
• Natayja Alexander, RN
• Grace Christine Alfors

• Psychiatric/Mental Health Nurse Practitioner in Trenton, NJ
• Providers in Trenton, 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 Dec 3, 2024; 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.

Verify at the official NPI Registry.