Individual provider Active NPI

Shakirat Odukale, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Branch, NJ
National Provider Identifier
1699337592
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00925000 Issued in NJ
Practice address
75 N Bath Ave
Long Branch, NJ 07740-6317
Phone
(732) 923-6000
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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 26NJ00925000 NJ Primary

Addresses

Primary practice location

75 N Bath Ave
Long Branch, NJ 07740-6317

Mailing address

75 N Bath Ave
Long Branch, NJ 07740-6317
Phone (732) 923-6000

Other practice location 1

771C Roosevelt Ave # 285
Carteret, NJ 07008-2350
Phone (732) 261-4917

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
I20190926000034 NJ Practitioner - Nurse Practitioner 8426388901 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barnabas Health Medical Group, PCGroup PAC ID 0648172809, 257 clinicians

Practice addresses (Care Compare)

223 Monmouth Rd
West Long Branch, NJ 07764-1029
Phone (732) 571-0972

300 2ND Ave
Long Branch, NJ 07740-6303

Hospital & facility affiliations

  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00925000NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Jan 22, 2020 Accepting new patients
Etab Behavioral Health Services Psychiatric/Mental Health CurrentSince Jan 4, 2026 Accepting new patients
NLP Behavioral Services LLC CurrentSince Aug 22, 2019 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Oct 25, 2025 Accepting new patients

Locations

771C Roosevelt Ave
Carteret, NJ 07008
Phone (732) 261-4917

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

175 Bartley Rd
Jackson, NJ 08527
Phone 73236754001439

75 N Bath Ave
Long Branch, NJ 07740
Phone (732) 923-5231

266 King George Rd
Warren, NJ 07059
Phone (732) 667-7778

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1699337592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N BATH AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406317",
            "telephone_number": "732-923-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N BATH AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406317",
            "telephone_number": "732-923-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "771C Roosevelt Ave # 285",
            "address_purpose": "LOCATION",
            "city": "Carteret",
            "state": "NJ",
            "postal_code": "070082350",
            "country_code": "US",
            "telephone_number": "732-261-4917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODUKALE",
        "first_name": "SHAKIRAT",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00925000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.