Adeyinka Adenuga

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Eatontown, NJ

NPI 1760116552 · NPPES record last updated Jan 26, 2026

Key facts

NPI
1760116552
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
26NJ01330400 (NJ)
Practice address
10 Industrial Way E Ste 108
Eatontown, NJ 07724-3332
Phone
(908) 242-2481
NPI assigned
Jul 15, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Family Services Inc (15 clinicians)

Practice addresses (Care Compare)

492 Route 57 W
Washington, NJ 07882-4411
Phone (908) 689-1000

Hospital & facility affiliations

  • St Luke'S Warren Hospital Hospital · Phillipsburg, NJ · CCN 310060

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240110004335 NJ Practitioner - Nurse Practitioner 0840641171 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
26NJ01330400NJMDPsychiatric/Mental Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01330400 NJ Yes

Addresses

Primary practice location

10 Industrial Way E Ste 108
Eatontown, NJ 07724-3332

Mailing address

10 Industrial Way E Ste 108
Eatontown, NJ 07724-3332
Phone (908) 242-2481

Other providers in Eatontown, NJ

All providers in Eatontown, NJ · Psychiatric/Mental Health Nurse Practitioner in New Jersey

Sources for this page

Verify at the official NPI Registry.