Olukayode Agunbiade, | |
43 Holland Street, Newark, NJ 07103 | |
(862) 215-5643 | |
Not Available |
Full Name | Olukayode Agunbiade |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 43 Holland Street, Newark, 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 |
---|---|---|---|
1033506787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01180200 (New Jersey) | Primary |
Entity Name | Rise Group Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184389389 PECOS PAC ID: 9638568215 Enrollment ID: O20211122000090 |
Entity Name | Da Brij Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144975095 PECOS PAC ID: 6406243583 Enrollment ID: O20220419001783 |
Mailing Address | Practice Location Address |
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Olukayode Agunbiade, 43 Holland Street, Newark, NJ 07103 Ph: (862) 215-5643 | Olukayode Agunbiade, 43 Holland Street, Newark, NJ 07103 Ph: (862) 215-5643 |
Mr. Michael C Cadorette, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Gateway Ctr Ste 2600, Newark, NJ 07102 Phone: 866-949-0108 | |
Casey Yeonjoo Cho, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-6938 | |
Mrs. Kisha Tamara Anderson, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Washington St, Newark, NJ 07102 Phone: 973-622-3900 Fax: 973-622-1698 | |
Sabitri Nesbitt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 Washington St, Newark, NJ 07102 Phone: 973-622-3900 Fax: 973-622-1698 | |
Marva Monique, Natasha Barbour, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 394 University Ave, Newark, NJ 07102 Phone: 973-877-6171 | |
Debra J Brouwer, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000 | |
Erin Kissel, A.P.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, 4l, Newark, NJ 07112 Phone: 973-926-7205 |