=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588528657
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A&A HEALTHCARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/12/2025
-----------------------------------------------------
Last Update Date | 12/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 MIDDLESEX TURNPIKE SUITE 210
-----------------------------------------------------
City | ISELIN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08830
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-986-5061
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 111 TOWN SQUARE PL STE 1238
-----------------------------------------------------
City | JERSEY CITY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07310-1810
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-986-5061
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | APN
-----------------------------------------------------
Name | ADETAYO ADELEKE
-----------------------------------------------------
Credential | NP-C
-----------------------------------------------------
Telephone | 856-986-5061
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------