Individual provider Active NPI

Titilope O. Adeleye

  • Psychiatric/Mental Health Nurse Practitioner
  • Hillside, NJ
National Provider Identifier
1508530312
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01176800 Issued in NJ
Practice address
1569 Schley St
Hillside, NJ 07205-1216
Phone
(201) 349-5135
NPI assigned
Aug 4, 2021
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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 Nurse Practitioner 363LP0808X 26NJ01176800 NJ Primary

Addresses

Primary practice location

1569 Schley St
Hillside, NJ 07205-1216

Mailing address

1569 Schley St
Hillside, NJ 07205-1216
Phone (201) 349-5135

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230601001748 NJ Practitioner - Nurse Practitioner 0244697589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pandp Psychiatric and Recovery Center LLC.Group PAC ID 0941557839, 2 clinicians

Practice addresses (Care Compare)

11 Dundar Rd
Suite 207
Springfield, NJ 07081-3513
Phone (908) 499-5375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Owen Health Care, Inc Current Accepting new patients
Owen Health Care, Inc CurrentSince Mar 3, 2023 Accepting new patients
P&P Psychiatric and Recovery Center LLC. Psychiatric/Mental Health CurrentSince Mar 20, 2023 Accepting new patients

Locations

11 Dundar Rd
Ste 207
Springfield, NJ 07081
Phone (908) 499-5375

2041 Springfield Ave
Vauxhall, NJ 07088
Phone (908) 258-7796

Interoperability endpoints

  • Direct secure messaging: hackensackmeridian.titilopeadeleye@136290.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1508530312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 SCHLEY ST",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051216",
            "telephone_number": "201-349-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 SCHLEY ST",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051216",
            "telephone_number": "201-349-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELEYE",
        "first_name": "TITILOPE",
        "middle_name": "O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01176800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, NJ

Sources for this page

Verify at the official NPI Registry.