Ifeoluwa Akindunbi, APN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Union, NJ
NPI 1336780568 · NPPES record last updated Apr 7, 2022
Key facts
- NPI
- 1336780568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 26NJ00957100 (NJ)
- Practice address
- 2386 Morris Ave
Union, NJ 07083-5723 - Phone
- (908) 463-7625
- NPI assigned
- Sep 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200305000472 | NJ | Practitioner - Nurse Practitioner | 8820425754 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00957100 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group of New Jersey PC | Psychiatry | Current |
Accepting new patients |
| Rutgers Health - Behavioral Health | Psychiatry | Current |
Accepting new patients |
| Rutgers Health - Behavioral Health | Psychiatry | Current | Accepting new patients |
| Clear Thoughts Healthcare LLC | Current |
Accepting new patients | |
| Building Blocks of Hope, LLC | Current |
Accepting new patients |
Locations
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004
936 Stuyvesant Ave
Ste 2
Union, NJ 07083
Phone (908) 296-8460
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00957100 | NJ | Yes |
Addresses
Primary practice location
2386 Morris Ave
Union, NJ 07083-5723
Mailing address
14 Marlborough Ave
Middlesex, NJ 08846-2020
Phone (908) 463-7625
Other providers in Union, NJ
- Modupeore Ajibade
- Ajt Behavioral Therapy Inc
- Nneka Gloria Akaeme
- Tahira Akbar
- Bosede Janet Akilo
- Adenike Akinpelu
- Benedicta Akpahu
- Alangad and Associates Inc.
- Michael Joseph Albanese
- Ashley Michelle Albarracin
All providers in Union, 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 Apr 7, 2022. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.