Maxicare Healthcare Consult

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MAXICARE HEALTHCARE CONSULT

Practice address

151 Route 10 E Ste 101
Succasunna, NJ 07876-1452

Phone

(973) 409-1406

NPI assigned

Jul 1, 2022

Organization subpart

No

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

Authorized official

Name

Oluwatosin Omotoyosi OlunugaNPI 1467723601

Title

Apn

Phone

(973) 409-1406

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oluwatosin Olunuga, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Succasunna, NJ
  • NPI 1467723601
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1346973948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 ROUTE 10 E STE 101",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761452",
            "telephone_number": "973-409-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 ROUTE 10 E STE 101",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761452",
            "telephone_number": "973-409-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXICARE HEALTHCARE CONSULT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "OLUNUGA",
        "authorized_official_first_name": "OLUWATOSIN",
        "authorized_official_middle_name": "OMOTOYOSI",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "973-409-1406"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "maxicarehcs.com",
            "affiliation": "N",
            "address_1": "151 Route 10 E Ste 101",
            "city": "Succasunna",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078761452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark J Rubinetti MD LLC
• Karin A Marshello-Stosic
• Deborah Martell
• Constantia Jo Masullo, LCSW
• Maureen E. McGrath
• Maximum Medical & Rehabilitation
• Kimberly Grace McCloskey
• Maureen Elizabeth McGrath, RNFA
• Kelly McGuinness
• Christina Medore, MS, BCBA

• Psychiatric/Mental Health Nurse Practitioner in Succasunna, NJ
• Providers in Succasunna, 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 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.