Active NPI
Morufat Olabimpe Tajudeen
- Administrator Registered Nurse
- East Brunswick, NJ
National Provider Identifier
1700405073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 26NR17982100
- Practice address
- 8 Susan LN
East Brunswick, NJ 08816-3703 - Phone
- (848) 391-4763
- NPI assigned
- Apr 15, 2020
- Last updated
- Apr 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 26NR17982100 | NJ | Primary |
Addresses
Primary practice location
8 Susan LN
East Brunswick, NJ 08816-3703
Mailing address
8 Susan LN
East Brunswick, NJ 08816-3703
Phone (848) 391-4763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR17982100 | NJ | MD | Administrator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affable Support Services LLC | Current | Accepting new patients | |
| Caress Services | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- East Brunswick, NJ
- NPI 1922605070
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- East Brunswick, NJ
- NPI 1730815952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1700405073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 SUSAN LN",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163703",
"telephone_number": "848-391-4763",
"fax_number": "732-416-8764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 SUSAN LN",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163703",
"telephone_number": "848-391-4763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAJUDEEN",
"first_name": "MORUFAT",
"middle_name": "OLABIMPE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-15",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "NJ",
"license": "26NR17982100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
- SZHG Behavioral Health LLC (Success on the Spectrum East Brunswick)
- Wagih F Tadros, M.D.
- Abanoob Tadrosse, MD
- Nicole Lauren Tagerty
- Kaitlyn Tagliarini, MS OTR/L
- Noel Talerico, LCADC, MA
- Jade Lynn Tambis Te, M.S.,CCC-SLP
- Tancredi Therapy and Counseling LLC
- Yvonne Tancredi, LCSW
- Gina M. Tanios-Rafla, D.M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.