Individual provider Active NPI

Ayoyemi Mayokun Okoduwa, PMHNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • East Orange, NJ
National Provider Identifier
1487594313
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
26NJ15462200 Issued in NJ
Practice address
23 Oak St
East Orange, NJ 07018-2823
Phone
(862) 215-4510
NPI assigned
Mar 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 26NJ15462200 NJ Primary

Addresses

Primary practice location

23 Oak St
East Orange, NJ 07018-2823

Mailing address

23 Oak St
East Orange, NJ 07018-2823
Phone (862) 215-4510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NJ15462200NJMDPsychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1487594313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 OAK ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182823",
            "telephone_number": "862-215-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 OAK ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182823",
            "telephone_number": "862-215-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKODUWA",
        "first_name": "AYOYEMI",
        "middle_name": "MAYOKUN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15462200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.