Kate A Okusanya, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00407600 Issued in NJ

Practice address

47 Peach Tree Ave
East Hanover, NJ 07936-1559

Phone

(908) 304-5313

Fax

(973) 585-4229

NPI assigned

Jan 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Katrix LLC

  • Home Health Agency
  • East Hanover, NJ
  • NPI 1548509821
  NPD (past) Authorized official

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1720325301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PEACH TREE AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361559",
            "telephone_number": "908-304-5313",
            "fax_number": "973-585-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PEACH TREE AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361559",
            "telephone_number": "908-304-5313",
            "fax_number": "973-585-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUSANYA",
        "first_name": "KATE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJOO407600",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00407600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0596124",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neuro Pro Wellness LLC (Neuro Home Wellness LLC)
• Neuropsychological and Psychodiagnostic Assessment Center of NJ
• New Jersey CVS Pharmacy LLC (CVS Pharmacy # 02949)
• New Jersey CVS Pharmacy LLC (CVS Pharmacy #16823)
• Natalie Nieves
• Natalia Olarte, LCSW
• Jessica J Olivera Sokol
• Abey Simon Oommen
• Kwaku B Opoku-Nsiah, PT, DPT
• Monique Marie Pacheco, OD

• Adult Health Nurse Practitioner in East Hanover, NJ
• Providers in East Hanover, 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 Apr 12, 2021; 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.