Healthcare Provider Details

I. General information

NPI: 1053276543
Provider Name (Legal Business Name): FOLAK HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 NJ 27 LEVEL 1
FRANKLIN PARK NJ
08873
US

IV. Provider business mailing address

1303 NJ 27 LEVEL 1
FRANKLIN PARK NJ
08873
US

V. Phone/Fax

Practice location:
  • Phone: 732-313-5581
  • Fax: 732-231-5704
Mailing address:
  • Phone: 732-313-5581
  • Fax: 732-231-5704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OLUWATOSIN A FOLAMI
Title or Position: CO-OWNER
Credential:
Phone: 732-313-5581