Individual provider Active NPI

Morufat Olabimpe Tajudeen

  • Administrator Registered Nurse
  • East Brunswick, NJ
National Provider Identifier
1700405073
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
26NR17982100 Issued in NJ
Practice address
8 Susan LN
East Brunswick, NJ 08816-3703
Phone
(848) 391-4763
NPI assigned
Apr 15, 2020
Last updated
Apr 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
26NR17982100NJMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Affable Support Services LLC CurrentSince Jul 31, 2022 Accepting new patients
Caress Services CurrentSince Oct 4, 2020 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.

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

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.

Verify at the official NPI Registry.