OrganizationActive
Henry Ibitokun LLC
NPI 1407655970 · Psychiatric/Mental Health Nurse Practitioner · Iselin, NJ
Provider details
- NPI number
- 1407655970
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Henry Ibitokun, Nurse Practitioner/Owner(315) 610-6702
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
200 Middlesex Tpke Ste 210
Iselin, NJ 08830-2033
Phone: (315) 610-6703
Fax: (315) 610-6703
Street-level locationGet directions
Mailing address
88 Roosevelt Ave Apt 105
Carteret, NJ 07008-2583
Additional practice locations (2)
- 2095 S Main St Ste 9-BWaterbury, CT 06706-2029Phone: (315) 610-6702Fax: (315) 610-6703
- 2025 Central Park Ave Ste 203Yonkers, NY 10710-2427Phone: (315) 610-6702Fax: (315) 610-6703
Registry dates
- Enumerated
- 2025-03-10
- Last updated
- 2025-03-10
- Certified
- 2025-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.