Kolawole Adeoti

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00532000 Issued in NJ

Practice address

220 Seymour Rd
Hackettstown, NJ 07840-1004

Phone

(973) 517-1980

NPI assigned

Aug 3, 2015

Last updated

Apr 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Association of Essex and Morris, Inc.Group PAC ID 5597654293, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Mental Health Association of Essex and Morris, Inc.

  • Mental Health Counselor
  • Montclair, NJ
  • NPI 1790721108
  Medicare reassignment Care Compare group NPD
• Premier Harmony Place LLC

  dba Positive Reset Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warren, NJ
  • NPI 1326875774
  Medicare reassignment NPD
• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Cherry Hill, NJ
  • NPI 1891956298
  Medicare reassignment NPD
• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Piscataway, NJ
  • NPI 1144267337
  NPD
• Grand Union Holistic Solutions, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Staten Island, NY
  • NPI 1003677998
  NPD (past)

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1629454533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SEYMOUR RD",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401004",
            "telephone_number": "973-517-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SEYMOUR RD",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401004",
            "telephone_number": "973-517-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEOTI",
        "first_name": "KOLAWOLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-03",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00532000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Place for Hope and Healing
• Nafisah Abdulsalam, RN
• Abilities of Northwest Jersey, Inc.
• Kabeer Dara Abro
• Erika Kim Ackerman
• Esther F Adesina, MS, RD
• Advancing Opportunities, Inc.
• Advancing Opportunities, Inc.
• Advocare , LLC (Advocare Integrative Pediatrics and Adolescent Care)
• Advocare, LLC (Advocare Ear, Nose & Throat Medical Associates)

• Psychiatric/Mental Health Nurse Practitioner in Hackettstown, NJ
• Providers in Hackettstown, 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 Apr 30, 2024; 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.