Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

OMOBOLA MUYINAT ILESANMI APN
NPI 1528963519
Nurse Practitioner - Psychiatric/Mental Health in Newark, NJ

Q: What is Omobola Ilesanmi's NPI number?

The NPI number for Omobola Ilesanmi is 1528963519. It was assigned to this individual provider in the NPPES registry on October 10, 2026.

Q: What is Omobola Ilesanmi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Omobola Ilesanmi was last updated on October 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 10, 2026

658 S 20TH ST, NEWARK, NJ 07103(973) 489-4862 Get Directions Write a Review

NPPES record added: October 10, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

On this page

About Omobola Muyinat Ilesanmi Apn NPPES

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

OMOBOLA MUYINAT ILESANMI APN (NPI 1528963519) is an individual psychiatric/mental health provider in Newark, New Jersey, licensed in New Jersey (26NJ15674100) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1528963519

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameOMOBOLA MUYINAT ILESANMICredential: APN

Location Address658 S 20TH STNewark, NJ 07103-1111

Mailing Address658 S 20th StNewark, NJ 07103-1111 · (973) 489-4862

Phone(973) 489-4862

Sole ProprietorYes

Enumeration DateOctober 10, 2026

NPPES CertifiedOctober 10, 2026

✔ NPI 1528963519 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

License✔ Licensed in NJ · 26NJ15674100

658 S 20TH ST, Newark, NJ 07103

Open in Google Maps ↗

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 Omobola Ilesanmi's NPI number?

The NPI number for Omobola Ilesanmi is 1528963519. It was assigned to this individual provider in the NPPES registry on October 10, 2026.

Where is Omobola Ilesanmi located?

Omobola Ilesanmi practices at 658 S 20th St, Newark, NJ 07103. The listed phone number is (973) 489-4862.

What is Omobola Ilesanmi'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 Omobola Ilesanmi was last updated on October 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.