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

Modupeore Ajibade

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1689425340

Modupeore Ajibade is a Nurse Practitioner in Union, New Jersey. Qualified in 2023, 3 years ago. Practices with Bridgeway Behavioral Health Services, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2024
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Practice location Address checks out

1945 Morris Ave Ste 7
Union, NJ 07083
Phone: (908) 291-2727
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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 26NJ15019300 (NJ)

Record details

NPI number1689425340
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 1, 2024
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024
Mailing address1945 Morris Ave Ste 7, Union, NJ 07083-3518

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Bridgeway Behavioral Health Services — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Union