IndividualActive
Abisoye Otunuga
NPI 1659098416 · Psychiatric/Mental Health Nurse Practitioner · Newark, NJ
Provider details
- NPI number
- 1659098416
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 26NJ01349400 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12 Bayard Pl
Newark, NJ 07106-3634
Phone: (201) 349-6816
Approximate (ZIP-level) locationGet directions
Mailing address
240 Central Ave
East Orange, NJ 07018-3313
Registry dates
- Enumerated
- 2022-10-24
- Last updated
- 2025-03-11
- Certified
- 2025-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.