Michael Idowu Ojelade, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00108700 Issued in NJ

Practice address

67 Bobolink CT
Wayne, NJ 07470-8450

Phone

(973) 953-3643

NPI assigned

May 12, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Michael Ojelade Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Helms Medical Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • East Orange, NJ
  • NPI 1447591797
  Medicare reassignment NPD
• Your Wellness Medical Group LLC

  • Internal Medicine Physician
  • Teaneck, NJ
  • NPI 1245058098
  NPD Authorized official
• Shelleys Way

  • Mental Health Counselor
  • Irvington, NJ
  • NPI 1639645179
  NPD
• F Farooqi DNP, LLC

  • Child & Adolescent Psychiatry Physician
  • Bernardsville, NJ
  • NPI 1346027547
  NPD (past)

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1710279534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BOBOLINK CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708450",
            "telephone_number": "973-953-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BOBOLINK CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708450",
            "telephone_number": "973-953-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJELADE",
        "first_name": "MICHAEL",
        "middle_name": "IDOWU",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00108700",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00108700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "OJELADE",
            "prefix": "MR.",
            "credential": "APN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mark Joseph Oberthaler, PA-C
• Thomas M Obrotka, MD
• Ogt Chiropractic Group, PA
• SE Young Oh, APN
• Kelli Ohanlon
• Karen Milano Olaya
• Olga Orlov, MD PA
• Jessica N Oliveros
• Isaac O Omoloyin, PMHNP-BC
• Noran Omran

• Adult Health Nurse Practitioner in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.