ABISOYE M. OTUNUGA
NPI 1659098416
Nurse Practitioner - Psychiatric/Mental Health in Newark, NJ

Active since October 24, 2022PECOS EnrolledAccepts Medicare Assignment
12 BAYARD PL, NEWARK, NJ 07106(201) 349-6816 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2025, Oct 24, 2022 (2 updates tracked since 2022).

About Abisoye M. Otunuga NPPES

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

ABISOYE M. OTUNUGA (NPI 1659098416) is an individual psychiatric/mental health provider in Newark, New Jersey, licensed in New Jersey (26NJ01349400) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1659098416
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameABISOYE M. OTUNUGA
Location Address12 BAYARD PLNewark, NJ 07106-3634
Mailing Address240 Central AveEast Orange, NJ 07018-3313 · (201) 349-6816 · Fax (973) 414-6730
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 24, 2022
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
NPI 1659098416 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 · 26NJ01349400
12 BAYARD PL, Newark, NJ 07106

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

Abisoye M. Otunuga 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 ID7416484498
PECOS Enrollment IDI20250103000080
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07106 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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
12 BAYARD PL
NEWARK, NJ 07106

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 Abisoye Otunuga's NPI number?

The NPI number for Abisoye Otunuga is 1659098416. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Abisoye Otunuga located?

Abisoye Otunuga practices at 12 Bayard Pl, Newark, NJ 07106. The listed phone number is (201) 349-6816.

What is Abisoye Otunuga's specialty?

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

Is Abisoye Otunuga enrolled in Medicare?

Yes. Abisoye Otunuga 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 Abisoye Otunuga was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.