Babatunde A. Ajayi
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Pleasantville, NJ
NPI 1649964370 · NPPES record last updated Jun 6, 2023
Key facts
- NPI
- 1649964370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- NJ26NJ14854200 (NJ)
- Practice address
- 1100 Clematis Ave
Pleasantville, NJ 08232-3302 - Phone
- (609) 892-1044
- Fax
- (609) 380-4442
- NPI assigned
- Jun 6, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- NJ Memory and Behavioral Care
NJ Behavioral Health Services PC
Practice addresses (Care Compare)
14 Ridgedale Ave
Suite 103
Cedar Knolls, NJ 07927-1106
Phone (973) 295-6335
140 E Ridgewood Ave
Suite 415
Paramus, NJ 07652-3915
Phone (800) 275-3243
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231201001994 | NJ | Practitioner - Nurse Practitioner | 2062860976 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJ26NJ14854200 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Levona Health LLC | Current |
Accepting new patients | |
| NJ Memory and Behavioral Care | Current |
Accepting new patients | |
| NJ Behavioral Health Services PC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335
1907 New Rd
Northfield, NJ 08225
Phone (609) 569-1040
140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900
80 S Main Rd
Vineland, NJ 08360
Phone (609) 645-8884
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NJ26NJ14854200 | NJ | Yes |
Addresses
Primary practice location
1100 Clematis Ave
Pleasantville, NJ 08232-3302
Mailing address
1100 Clematis Ave
Pleasantville, NJ 08232-3302
Phone (609) 892-1044
Other providers in Pleasantville, NJ
- Anthony Joseph Abbruzzi
- Achieve Therapy Services
- Pradip N Agrawal
- Shalini Agrawal
- Sujood Ahmed
- Always Young at Heart LLP
- Karen Amelung
- Cathy Anderson
- Angelic Health Practice Group
- Angelic Health Practice Group
All providers in Pleasantville, NJ · Psychiatric/Mental Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.