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

Mary Odusanya

Individual provider Family Nurse Practitioner · NPI 1346770575

Mary Odusanya is a Nurse Practitioner in Springfield, New Jersey. Qualified in 2017, 9 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017

Practice location Address checks out

454 Morris Ave
Springfield, NJ 07081-1158
Phone: (908) 312-0288
Fax: (908) 484-9447
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00735000 (NJ)

Record details

NPI number1346770575
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2017
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025
Mailing address454 Morris Ave, Springfield, NJ 07081-1158

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Springfield