Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIFE SPAN WELLNESS LLC
NPI 1356036529
Nurse Practitioner - Psychiatric/Mental Health in Bloomfield, NJ

Q: What is Life Span Wellness LLC's NPI number?

The NPI number for Life Span Wellness LLC is 1356036529. It was assigned to this organization in the NPPES registry on April 5, 2023.

Q: What is Life Span Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since April 05, 2023

156 BALDWIN PL, BLOOMFIELD, NJ 07003(862) 220-0914(862) 306-1037 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 26, 2026, Apr 5, 2023 (2 updates tracked since 2023).

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About Life Span Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE SPAN WELLNESS LLC (NPI 1356036529) is a healthcare organization registered as a psychiatric/mental health in Bloomfield, New Jersey and active in the NPI registry since April 2023. The organization lists Abiodun Akinola Olatubosun, Apn, as its authorized official.

NPPES Registry Identity

NPI1356036529

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameLIFE SPAN WELLNESS LLC

Location Address156 BALDWIN PLBloomfield, NJ 07003-6036

Mailing Address156 Baldwin PlBloomfield, NJ 07003-6036 · (862) 220-0914 · Fax (862) 306-1037

Phone(862) 220-0914

Fax(862) 306-1037

Organization SubpartNo

Authorized OfficialAbiodun Akinola OlatubosunApn · (862) 220-6803

Enumeration DateApril 5, 2023

Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1356036529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

156 BALDWIN PL, Bloomfield, NJ 07003

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABIODUN AKINOLA OLATUBOSUN APRN

Nurse Practitioner (Psychiatric/Mental Health)

156 BALDWIN PL
BLOOMFIELD, NJ 07003

Essex County (862) 220-0914

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Span Wellness LLC's NPI number?

The NPI number for Life Span Wellness LLC is 1356036529. It was assigned to this organization in the NPPES registry on April 5, 2023.

Where is Life Span Wellness LLC located?

Life Span Wellness LLC is located at 156 Baldwin Pl, Bloomfield, NJ 07003. The listed phone number is (862) 220-0914.

What is Life Span Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Life Span Wellness LLC was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.