P&P Psychiatric and Recovery Center LLC.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00654800 Issued in NJ

Legal business name

P&P PSYCHIATRIC AND RECOVERY CENTER LLC.

Practice address

11 Dundar Rd Ste 105
Springfield, NJ 07081-3513

Phone

(908) 499-5375

NPI assigned

Jul 2, 2018

Last updated

Nov 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olubunmi Adetule, PMHNP-BC, APNNPI 1245786979

Title

Nurse Practitioner

Phone

(862) 297-3732

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olubunmi Adetule

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, NJ
  • NPI 1245786979
  Medicare reassignment Care Compare group NPD Authorized official
• Titilope O. Adeleye

  • Psychiatric/Mental Health Nurse Practitioner
  • Hillside, NJ
  • NPI 1508530312
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1851887921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NOTTINGHAM WAY STE D5",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837932",
            "telephone_number": "190-849-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DUNDAR RD STE 105",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813513",
            "telephone_number": "908-499-5375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 E Jersey St Ste 417",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072012446",
            "country_code": "US",
            "telephone_number": "908-499-5375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "P&P PSYCHIATRIC AND RECOVERY CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "ADETULE",
        "authorized_official_first_name": "OLUBUNMI",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "862-297-3732",
        "authorized_official_credential": "PMHNP-BC, APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00654800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "26NJ00654800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optum Medical Care of New Jersey PC (Riverside Medical Group)
• Kristine Dorothy Ostroff
• Rachel Ostry, MD
• Johanna Victoria Otero, LSW
• Susanne Ottomanelli, OTR/L
• Sarah Pachner, PSY.D.
• Clarissa Padua, RD
• Elizabeth Pais
• Jennifer Palko, L.AC.
• Ronald D Pallant, MD

• Psychiatric/Mental Health Nurse Practitioner in Springfield, NJ
• Providers in Springfield, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.