Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abisoye M. Otunuga

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1659098416

Abisoye M. Otunuga is a Nurse Practitioner in Newark, New Jersey. Qualified in 2022, 4 years ago. Practices with Eoh Acquisition Group, LLC, a 39-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
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Practice location Address checks out

12 Bayard Pl
Newark, NJ 07106-3634
Phone: (201) 349-6816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ01349400 (NJ)

Record details

NPI number1659098416
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 24, 2022
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Eoh Acquisition Group, Llc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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