Henry Ibitokun LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HENRY IBITOKUN LLC

Practice address

200 Middlesex Tpke Ste 210
Iselin, NJ 08830-2033

Phone

(315) 610-6703

Fax

(315) 610-6703

NPI assigned

Mar 10, 2025

Organization subpart

No

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

Authorized official

Name

Henry Adewole Ibitokun, NP, APNNPI 1194109744

Title

Nurse Practitioner/Owner

Phone

(315) 610-6702

Specialties & licenses 2

Addresses

Practitioners 2

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

• Henry Adewole Ibitokun, APN-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Iselin, NJ
  • NPI 1194109744

  Family

  NPD Authorized official
• Olateju Odumosu, FNP-BC, NP-C

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1881225977
  NPD (past)

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1407655970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 ROOSEVELT AVE APT 105",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070082583",
            "telephone_number": "315-610-6702",
            "fax_number": "315-610-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MIDDLESEX TPKE STE 210",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302033",
            "telephone_number": "315-610-6703",
            "fax_number": "315-610-6703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2095 S Main St Ste 9-B",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067062029",
            "country_code": "US",
            "telephone_number": "315-610-6702",
            "fax_number": "315-610-6703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Central Park Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107102427",
            "country_code": "US",
            "telephone_number": "315-610-6702",
            "fax_number": "315-610-6703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HENRY IBITOKUN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-09",
        "status": "A",
        "authorized_official_last_name": "IBITOKUN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "ADEWOLE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "315-610-6702",
        "authorized_official_credential": "NP, APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Iselin, NJ
• Providers in Iselin, 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 Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.