ADETUTU MOJISOLA SANDRA OGUNLEYE


Address: 709 Dartmoor Ave, Williamstown, NJ 08094-6307
Phone: 8563413223

ADETUTU MOJISOLA SANDRA OGUNLEYE (NPI# 1720528342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720528342
Entity Type Individual
Full Name ADETUTU MOJISOLA SANDRA OGUNLEYE
Credential APN
Practice Address 709 Dartmoor Ave
Williamstown
NJ 08094-6307
Practice Telephone 8563413223
Mailing Telephone 8563413223
Enumeration Date 2017-03-01
Last Update Date 2017-03-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
SP017231 PA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
26NJ00710400 NJ Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
SP017231 PA Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
26NJ00710400 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 709 DARTMOOR AVE
City WILLIAMSTOWN
State NJ
Zip Code 08094-6307

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1114904026 Eileen F. Gabriel Nurse Practitioner 197 Adams Rd, Williamstown, MA 01267-2930 2005-12-30

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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
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1881242840 Emily Lott Nurse Practitioner 1865 Rte 70 E, Cherry Hill, NJ 08003 2019-09-03
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Competitor

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City WILLIAMSTOWN
Zip Code 08094

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Dataset Information

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.

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