Oluwatosin Olunuga, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01309600 Issued in NJ

Practice address

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

Phone

(973) 296-2060

Fax

(973) 762-1808

NPI assigned

Jan 19, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Maxicare Healthcare Consult

  • Psychiatric/Mental Health Nurse Practitioner
  • Succasunna, NJ
  • NPI 1346973948

  NJ

  Medicare reassignment Authorized official
• Maxicare Healthcare Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
  • NPI 1508596222

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1467723601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PLEASANT VILLAGE DR",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761144",
            "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": "973-296-2060",
            "fax_number": "973-762-1808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 Bayway Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072022613",
            "country_code": "US",
            "telephone_number": "973-296-2060",
            "fax_number": "973-762-1808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Pleasant Village Dr",
            "address_purpose": "LOCATION",
            "city": "Succasunna",
            "state": "NJ",
            "postal_code": "078761144",
            "country_code": "US",
            "telephone_number": "973-409-1406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLUNUGA",
        "first_name": "OLUWATOSIN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-19",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404262-01",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01309600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tsnsail24@gmail.com",
            "affiliation": "N",
            "address_1": "10 Pleasant Village Dr",
            "city": "Succasunna",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078761144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Northeastern Medical
• Northwest Medical Care, LLC
• Amanda Nuzzo
• Devin O'Brien, L.S.W.
• Barbara A. O'Neil, PT
• Ann Marie Pagano, MSW,LCSW
• Fred Pastor, DSW, LCSW,L.L.C.
• Lynne Pastor, LCSW, LCADC,SAP,L.LC
• Pooja Ashok Patel, DMD
• Vaishali S Patel, RPH

• 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 May 14, 2025; 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.