Healthcare Provider Details

I. General information

NPI: 1134006257
Provider Name (Legal Business Name): BABATUNDE JOSEPH OGUNNAIKE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/20/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 HICKORY CORNER RD APT 5-11
EAST WINDSOR NJ
08520-2423
US

IV. Provider business mailing address

152 HICKORY CORNER RD APT 5-11
EAST WINDSOR NJ
08520-2423
US

V. Phone/Fax

Practice location:
  • Phone: 609-297-7709
  • Fax:
Mailing address:
  • Phone: 609-297-7709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: