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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: October 25, 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
Phone(201) 349-6816
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Abisoye Otunuga reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shiloh Wellness
Same address
Psychiatric/Mental Health
12 BAYARD PL
Newark, NJ 07106
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1114871886 (201) 349-6816
Eoh Acquisition Group, LLC
1.6 mi
Psychiatry
300 CENTRAL AVE
East Orange, NJ 07018
  • Reassigned Medicare billing, New Jersey enrollment
  • 13 clinicians in this Medicare group
NPI 1760851893 (973) 672-8400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SHILOH WELLNESS
Nurse Practitioner (Psychiatric/Mental Health)
12 BAYARD PL
NEWARK, NJ 07106
Essex County (201) 349-6816

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.

Which organizations bill Medicare for Abisoye Otunuga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abisoye Otunuga reassigns Medicare benefits to 2 organizations: Shiloh Wellness (Newark, NJ) and Eoh Acquisition Group, LLC (East Orange, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abisoye Otunuga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 19 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.