Individual provider · Type 1 NPI
Omotayo Olanrewaju
Nurse Practitioner · Newark, NJ
Practice location
150 Bergen St
Newark, NJ 07103-2496
Mailing address
730 Garden St
Union, NJ 07083-6642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2026002489 (NJ) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1861301848
Omotayo Olanrewaju's National Provider Identifier is 1861301848, issued on Sep 4, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Newark, NJ. The record was last updated on Sep 19, 2026.