Organization Active NPI

Magnolia Star Health Services LLC

  • Nurse Practitioner
  • Branchburg, NJ
National Provider Identifier
1720905292
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MAGNOLIA STAR HEALTH SERVICES LLC
Practice address
971 US Highway 202 N Ste N
Branchburg, NJ 08876-3757
Phone
(732) 518-3900
NPI assigned
Jul 3, 2026
Last updated
Jul 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

Name
Mrs. Opeyemi Adegbesan
Title
Revenue Cycle Manager
Phone
(623) 292-2356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

971 US Highway 202 N Ste N
Branchburg, NJ 08876-3757

Mailing address

105 Tivoli Gardens Rd Ste V
Peachtree City, GA 30269-1528
Phone (623) 292-2356

National Provider Directory

National Provider Directory

Locations

105 Tivoli Gardens Rd
Ste V
Peachtree City, GA 30269

NPI Registry JSON

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

{
    "created_epoch": "1783036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1720905292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TIVOLI GARDENS RD STE V",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691528",
            "telephone_number": "623-292-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 US HIGHWAY 202 N STE N",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "732-518-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA STAR HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-03",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "ADEGBESAN",
        "authorized_official_first_name": "OPEYEMI",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "623-292-2356",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.