OLUWATOBI O ADESANLU NP
NPI 1386410223
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, NJ

Active since December 01, 2023PECOS EnrolledAccepts Medicare Assignment
367 BERRY ST, WOODBRIDGE, NJ 07095(973) 979-2121 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2024, Jan 5, 2024 (2 updates tracked since 2024).

About Oluwatobi O Adesanlu Np NPPES

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

OLUWATOBI O ADESANLU NP (NPI 1386410223) is an individual psychiatric/mental health provider in Woodbridge, New Jersey, licensed in New Jersey (26NJ15012600) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1386410223
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOLUWATOBI O ADESANLUCredential: NP
Location Address367 BERRY STWoodbridge, NJ 07095-3341
Mailing Address367 Berry StWoodbridge, NJ 07095-3341 · (973) 200-8201
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 1, 2023
Last NPPES UpdateJuly 14, 20252 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
NPI 1386410223 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
Licenses Licensed in NJ · 26NJ15012600 Licensed in NY · 405619 Licensed in FL · 11029858
367 BERRY ST, Woodbridge, NJ 07095

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Oluwatobi O Adesanlu Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395276166
PECOS Enrollment IDI20241003002481
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services12 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Oluwatobi Adesanlu's NPI number?

The NPI number for Oluwatobi Adesanlu is 1386410223. It was assigned to this individual provider in the NPPES registry on December 1, 2023.

Where is Oluwatobi Adesanlu located?

Oluwatobi Adesanlu practices at 367 Berry St, Woodbridge, NJ 07095. The listed phone number is (973) 979-2121.

What is Oluwatobi Adesanlu's specialty?

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

Is Oluwatobi Adesanlu enrolled in Medicare?

Yes. Oluwatobi Adesanlu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Oluwatobi Adesanlu was last updated on July 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.