HENRY ADEWOLE IBITOKUN (NPI# 1194109744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194109744 |
| Entity Type | Individual |
| Full Name | HENRY ADEWOLE IBITOKUN |
| Credential | APN-C |
| Practice Address |
111 Abbi Rd Carteret NJ 07008-3535 |
| Mailing Address |
206 Abbi Rd Carteret NJ 07008-3536 |
| Practice Telephone | 9082795785 |
| Mailing Telephone | 9082795785 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2016-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
307386 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00578600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
307386 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
26NJ00578600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
111 ABBI RD |
| City | CARTERET |
| State | NJ |
| Zip Code | 07008-3535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868494 | Tahesha Mccray | Counselor | 23 Lefferet Street, Carteret, NJ 07008 | 2020-07-06 |
| 1316468325 | Karandeep Singh Brar | Dentist | 43 John Street, Carteret, NJ 07008 | 2017-06-29 |
| 1013451376 | Rose Blaise | Pharmacist | 5 Chrome Ave, Carteret, NJ 07008 | 2016-12-06 |
| 1427505965 | Samwel Gitonga | Licensed Practical Nurse | 304 Pershing Avenue, Carteret, NJ 07008 | 2016-09-01 |
| 1972696607 | Electrodiagnostic Imaging LLC | Physiological Laboratory | 12 Taylor Avenue, Carteret, NJ 07008 | 2006-10-02 |
| 1962595629 | Vanjelo P Abellar | Specialist | 1175 Roosevelt Ave., Carteret, NJ 07008 | 2006-10-02 |
| 1366457350 | Walgreen Eastern Co, Inc | Durable Medical Equipment & Medical Supplies | 833 Roosevelt Ave, Carteret, NJ 07008 | 2006-07-29 |
| 1124310420 | Daisy Mankarios Behman Md PC | Internal Medicine | 48 Pulaski Ave, Carteret, NJ 07008 | 2011-05-05 |
| 1134452063 | Antonio P Monterosso | Physical Therapist | 1175 Roosevelt Ave, Carteret, NJ 07008 | 2009-09-10 |
| 1427536317 | Leonel Levi Matos | Counselor | 29 Stima Ave, Carteret, NJ 07008-1214 | 2018-08-01 |
| Find all providers in zip 07008 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098677 | Lauren Olmstead | Nurse Practitioner | 317 George St Ste 440, New Brunswick, NJ 08901-2008 | 2020-09-17 |
| 1275151961 | Natacha Jharahy | Nurse Practitioner | 2194 Stecher Ave, Union, NJ 07083-5252 | 2020-07-08 |
| 1477178424 | Dorota Mironiuk | Nurse Practitioner | 17 Reagan Way, Kinnelon, NJ 07405-2738 | 2020-06-15 |
| 1770111320 | Adrian A Sanchez | Nurse Practitioner | 28 Springbrook Rd E, Montville, NJ 07045-9162 | 2020-03-30 |
| 1356977409 | Gayle M Pistilli | Nurse Practitioner | 271 Cindy St, Old Bridge, NJ 08857-3060 | 2020-03-20 |
| 1578193876 | Melonie D Smith | Nurse Practitioner | 39 E 39th St Apt 4p, Paterson, NJ 07514-1163 | 2020-01-25 |
| 1710529151 | Anna M Comayagua | Nurse Practitioner | 82 Crab Apple Hill Rd, Milford, NJ 08848-1803 | 2019-10-16 |
| 1740830157 | Trisha Boland | Nurse Practitioner | 133 Center St Unit B2, New Milford, NJ 07646-2653 | 2019-09-17 |
| 1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
| 1528532397 | Jill Marie Generelli | Nurse Practitioner | 972 Hwy 36, Hazlet, NJ 07730-1700 | 2019-01-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.