Life Span Wellness LLC
NPI 1356036529 · Psychiatric/Mental Health Nurse Practitioner · Bloomfield, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Life Span Wellness LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Bloomfield, NJ (NPI 1356036529).
Provider details
- NPI number
- 1356036529
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Abiodun Olatubosun, Nurse Practitioner, Psych(551) 275-5674
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-05
- Last updated
- 2023-04-05
- Certified
- 2023-04-05
Frequently asked questions
- What is Life Span Wellness LLC's NPI number?
- Life Span Wellness LLC's National Provider Identifier (NPI) is 1356036529, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Span Wellness LLC?
- Life Span Wellness LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Life Span Wellness LLC located?
- Life Span Wellness LLC's practice location on file with NPPES is 156 Baldwin Pl, Bloomfield, NJ 07003-6036.
- What is Life Span Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Life Span Wellness LLC is (551) 275-5674.
- Does Life Span Wellness LLC accept Medicare?
- Life Span Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Life Span Wellness LLC?
- The authorized official listed on Life Span Wellness LLC's NPPES record is Abiodun Olatubosun, Nurse Practitioner, Psych. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Span Wellness LLC's NPI active?
- Yes — Life Span Wellness LLC's NPI (1356036529) is active in the NPPES registry as of the last update on 2023-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.