ABIMBOLA OTUFALE PMHNP NPI 1508464397

NPI Information

  • NPI: 1508464397
  • Provider Name: ABIMBOLA OTUFALE, PMHNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 252B CAMDEN ST
    NEWARK, NJ
    ZIP 07103
  • Phone: (516) 225-4296

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NPI Details

Abimbola Otufale, PMHNP is a family nurse practitioner in Newark, NJ with 3 years of experience. Abimbola Otufale, PMHNP NPI is 1508464397. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

252B CAMDEN ST
NEWARK, NJ
ZIP 07103-434
Phone: (516) 225-4296

The NPI 1508464397 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2020 and was last updated on 8/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner1161913TEXASNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health26NJ01068500NEW JERSEYNo
3363LP0808XNurse PractitionerPsychiatric/Mental Health405429NEW YORKNo
4363LF0000XNurse PractitionerFamily346031NEW YORKYes
5363LP0808XNurse PractitionerPsychiatric/Mental HealthC-APN.0102715-C-NPCOLORADONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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