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

Mrs. Toyin Beatrice Omidire

Individual provider Case Manager/Care Coordinator · NPI 1033988399

Mrs. Toyin Beatrice Omidire is a Nurse Practitioner in Newark, New Jersey. Qualified in 2025, 1 year ago. Practices with Newark Community Health Centers Inc, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2023
Specialties on file
2

Practice location Address checks out

65 Bergen St # 1127
Newark, NJ 07107-3001
Phone: (973) 666-8433
Show map & directions

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

Additional practice locations (1)

  • 741 Broadway, Newark, NJ 07104-4309 — (973) 483-1300

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ15419900 (NJ)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 26NR16280200 (NJ)

Record details

NPI number1033988399
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 28, 2023
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Newark Community Health Centers Inc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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