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

Dr. Omotayo Elizabeth Awujoola, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1194932392

Dr. Omotayo Elizabeth Awujoola, NURSEPRACTITIONER is a Nurse Practitioner in Old Saybrook, Connecticut. Qualified in 2016, 10 years ago. Practices with Nj Memory and Behavioral Care, a 72-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2007
Specialties on file
2

Practice location Address checks out

20 Research Pkwy
Old Saybrook, CT 06475
Phone: (800) 370-3651
Fax: (860) 370-3651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 90 Brick Rd Fl 3, Marlton, NJ 08053-2177 — (856) 355-6000
  • 175 Madison Ave, Mount Holly, NJ 08060-2099 — (609) 914-6000
  • 100 Bowman Dr Fl 1, Voorhees, NJ 08043-9612 — (856) 247-3000

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NR14090700 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ00675000 (NJ)

Record details

NPI number1194932392
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Nj Memory And Behavioral Care — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Old Saybrook