All-Ages Behavioral Health LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Florham Park, NJ
NPI 1821892407 · NPPES record last updated May 19, 2026
Key facts
- NPI
- 1821892407
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- ALL-AGES BEHAVIORAL HEALTH LLC
- Practice address
- 38 Park St Apt 23E
Florham Park, NJ 07932-1746 - Phone
- (469) 530-4932
- NPI assigned
- Apr 2, 2025
- Organization subpart
- No
Authorized official
- Name
- Olalekan Adefowokan
- Title
- Owner
- Phone
- (469) 530-4932
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250715003311 | NJ | Part B Supplier - Clinic/Group Practice | 2961917224 |
Receives reassigned benefits from 1 practitioner Practice locations: Florham Park, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
38 Park St Apt 23E
Florham Park, NJ 07932-1746
Mailing address
38 Park St Apt 23E
Florham Park, NJ 07932-1746
Phone (469) 530-4932
Other providers in Florham Park, NJ
- Kezia Jasmina Ribeiro Alberto
- Andrea Albrigo
- Dorothy Alexander
- Asma Naiem Ali
- Zehra Ali
- All-Ages Primary Care LLC
- Allegro School, Inc.
- Lindsey Allen
- Allergy and Clinical Immunology Center, P.a.
- Allied Anesthesia Associates
All providers in Florham Park, NJ · Psychiatric/Mental Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.