Olasumbo Oladeru, | |
1901 N Olden Avenue Ext Ste 11a, Ewing, NJ 08618-2100 | |
(609) 583-4969 | |
(609) 323-7285 |
Full Name | Olasumbo Oladeru |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1901 N Olden Avenue Ext Ste 11a, Ewing, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083250484 | NPI | - | NPPES |
0751171 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ00987800 (New Jersey) | Primary |
Entity Name | Cognicare Psychological Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831746957 PECOS PAC ID: 6608204334 Enrollment ID: O20200312000236 |
Entity Name | Iconichealth Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972106292 PECOS PAC ID: 1153737002 Enrollment ID: O20210302000143 |
Mailing Address | Practice Location Address |
---|---|
Olasumbo Oladeru, 4 Boleyn Ct, Ewing, NJ 08628-2231 Ph: (609) 321-0233 | Olasumbo Oladeru, 1901 N Olden Avenue Ext Ste 11a, Ewing, NJ 08618-2100 Ph: (609) 583-4969 |
Ophelia Osinachi Matthews, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13 Patton Dr, Ewing, NJ 08618 Phone: 267-608-3044 | |
Mabrigida S Viaje, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1440 Pennington Rd, Ewing, NJ 08618 Phone: 609-890-1050 Fax: 609-890-0950 | |
Jenny Song, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Pennington Rd, Ewing, NJ 08618 Phone: 609-882-0777 | |
Ijeoma Adamma Okeke, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 28 Pioneer Ct, Ewing, NJ 08628 Phone: 732-514-2150 | |
Hazel Ninobla Chavez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1440 Pennington Rd Ste 1, Ewing, NJ 08618 Phone: 609-422-7928 | |
Geralda Bettina Oluwagbamila, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1440 Pennington Rd, Ewing, NJ 08618 Phone: 609-890-1050 Fax: 609-890-0950 |