Bola Fadipe, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00468500 Issued in NJ

Practice address

2386 Morris Ave Ste 205-207
Union, NJ 07083-5723

Phone

(908) 777-1617

Fax

(862) 205-2480

NPI assigned

Oct 30, 2013

Last updated

May 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bfadipe1327188@nychhc.direct-ci.com
• Direct secure messaging: bfadipe148092@direct.peacehealth.org

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.

• Excel Urgent Care of NJ LLC

  • Urgent Care Clinic/Center
  • Old Bridge, NJ
  • NPI 1255742243
  Medicare reassignment NPD
• Newburgh Physician Services PC

  • Physical Medicine & Rehabilitation Physician
  • Tinton Falls, NJ
  • NPI 1205268364

  NY

  Medicare reassignment NPD
• Samuel Field Ym&Ywha

  • Adult Mental Health Clinic/Center
  • Little Neck, NY
  • NPI 1205862950
  Medicare reassignment NPD
• Lenox Medical Group

  • Family Nurse Practitioner
  • Rahway, NJ
  • NPI 1831605435
  NPD Authorized official
• Mental Wellness Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Florence, OR
  • NPI 1629861091
  NPD Authorized official
• Karat Health, Inc.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Long Island City, NY
  • NPI 1093228801
  NPD (past)
• United Cerebral Palsy Assoc of Nys Inc.

  dba Cerebral Palsy of NYS

  • Clinic/Center
  • Woodside, NY
  • NPI 1255496642
  NPD (past)

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1477981496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 MORRIS AVE STE 205",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835723",
            "telephone_number": "908-777-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 MORRIS AVE STE 205-207",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835723",
            "telephone_number": "908-777-1617",
            "fax_number": "862-205-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Saint Georges Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Rahway",
            "state": "NJ",
            "postal_code": "070652713",
            "country_code": "US",
            "telephone_number": "732-686-6030",
            "fax_number": "732-453-6171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 US Highway 9",
            "address_purpose": "LOCATION",
            "city": "Englishtown",
            "state": "NJ",
            "postal_code": "077268270",
            "country_code": "US",
            "telephone_number": "732-617-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 US Highway 9",
            "address_purpose": "LOCATION",
            "city": "Englishtown",
            "state": "NJ",
            "postal_code": "077268270",
            "country_code": "US",
            "telephone_number": "732-617-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "188 Huckleberry Ln",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "OR",
            "postal_code": "974398779",
            "country_code": "US",
            "telephone_number": "541-991-5501",
            "fax_number": "862-205-4480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FADIPE",
        "first_name": "BOLA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338222",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00468500",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201504434",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404491",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00468500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther A Eweh
• Exclusive Healthcare LLC
• Express Urgent Care LLC
• Eyestyles of New Jersey (eyestyles of union)
• John A Faccone, D.O.
• Jason Sean Fahs, PT
• Melissa Falcetano, MA, LAC
• Michelle Famarin, PT, DPT
• Family Behavioral Health Services LLC
• Family Care Agency, Inc

• Psychiatric/Mental Health Nurse Practitioner in Union, NJ
• Providers in Union, 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 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.