Healthcare Provider Details

I. General information

NPI: 1447863048
Provider Name (Legal Business Name): OLUWATOSIN AKINDUNBI APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: OLUWATOSIN AKINDUNBI

II. Dates (important events)

Enumeration Date: 08/25/2020
Last Update Date: 04/18/2023
Certification Date: 04/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 MARLBOROUGH AVE
MIDDLESEX NJ
08846-2020
US

IV. Provider business mailing address

14 MARLBOROUGH AVE
MIDDLESEX NJ
08846-2020
US

V. Phone/Fax

Practice location:
  • Phone: 973-393-4068
  • Fax:
Mailing address:
  • Phone: 973-393-4068
  • Fax: 973-200-8137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR18504900
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ01287400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: