Maxicare Healthcare Services Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MAXICARE HEALTHCARE SERVICES INC

Practice address

112 Lehigh Ave
Newark, NJ 07112-2036

Phone

(073) 409-1406

NPI assigned

Jun 15, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Oluwatosin O OlunugaNPI 1467723601

Title

Apn

Phone

(973) 409-1406

Specialties & licenses 1

Addresses

Practitioners 1

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

• Oluwatosin Olunuga, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Succasunna, NJ
  • NPI 1467723601
  NPD Authorized official

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1508596222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LEHIGH AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122036",
            "telephone_number": "073-409-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LEHIGH AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122036",
            "telephone_number": "073-409-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXICARE HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "OLUNUGA",
        "authorized_official_first_name": "OLUWATOSIN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "973-409-1406",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan George Mautone, M.D.
• Amanda Mavraj
• Lauren Mavus, OTR
• Maxcen Housing Society Inc., New Jersey Branch
• David Adrian McCombs Maxey, PHD
• Maxmath Tutoring Online, New Jersey Branch Inc.
• Leila Maybodi, MD
• Sharon Carlitha Mayers, NP
• Frances Rieth Maynard, FNP-BC PHD
• Latisse Monique Mays-Stovall, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Newark, NJ
• Providers in Newark, 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 Jun 15, 2022; 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.