Adeola Olubusola Dosunmu, APN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

26NJ00694900 Issued in NJ

Practice address

275 Hobart St
Perth Amboy, NJ 08861

Phone

(732) 376-9333

Fax

(732) 324-5765

NPI assigned

Jul 25, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Health Services CorporationGroup PAC ID 3072402395, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adeola.dosunmu.p1@direct.nhscnj.nextgenshare.com
• Direct secure messaging: adeola.dosunmu.p2@direct.vnahg.nextgenshare.com
• FHIR API: https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/9740/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neighborhood Health Services Corporation

  dba Neighborhood Health Center - Phillipsburg

  • Federally Qualified Health Center (FQHC)
  • Phillipsburg, NJ
  • NPI 1003850488
  Medicare reassignment Care Compare group NPD
• Central Jersey Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Carteret, NJ
  • NPI 1932974250
  Medicare reassignment NPD
• Fastmed of NJ LLC

  • Hematology & Oncology Physician
  • Clifton, NJ
  • NPI 1942691100
  Medicare reassignment NPD
• VPS Medical Services, PC

  • Internal Medicine Physician
  • Neptune, NJ
  • NPI 1265077739
  Medicare reassignment NPD
• Central Jersey Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1932512092
  NPD
• Neighborhood Health Services Corporation

  dba Neighborhood Health Center - Elizabeth

  • Federally Qualified Health Center (FQHC)
  • Elizabeth, NJ
  • NPI 1538383666
  NPD
• Vitality NP Group LLC

  • Nurse Practitioner
  • Horsham, PA
  • NPI 1003453051
  NPD (past)

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841714474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1220",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088621220",
            "telephone_number": "732-376-9333",
            "fax_number": "732-324-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HOBART ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-376-9333",
            "fax_number": "732-324-5765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 Park Ave",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "070171905",
            "country_code": "US",
            "telephone_number": "973-676-0955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSUNMU",
        "first_name": "ADEOLA",
        "middle_name": "OLUBUSOLA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00694900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0575542",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyesha Dills
• Divine Health Medical Supplies, Inc.
• Vijay K Dogra, MD
• Inocencia Dominguez
• Marlyn Dorsey
• Dr Vinod K Sinha MD PA
• Dr. Kevin D. Geiger and Associates, P.a.
• Dr. Pablo Bencosme, PC
• Christina Drabik, R.PH.
• James C Dragon II

• Primary Care Nurse Practitioner in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.