SHIYANBOLA AJAO
NPI 1790363653
Nurse Practitioner - Psychiatric/Mental Health in Union, NJ

Q: What is Shiyanbola Ajao's NPI number?

The NPI number for Shiyanbola Ajao is 1790363653. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Shiyanbola Ajao'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 Shiyanbola Ajao was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 March 31, 2021PECOS EnrolledAccepts Medicare Assignment

540 NORTH AVE # 2036, UNION, NJ 07083(912) 844-3313 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 29, 2023, Mar 20, 2023, Mar 31, 2021 (3 updates tracked since 2021).

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About Shiyanbola Ajao NPPES

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

SHIYANBOLA AJAO (NPI 1790363653) is an individual psychiatric/mental health provider in Union, New Jersey, licensed in New Jersey (26NJ14933300) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790363653

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHIYANBOLA AJAO

Location Address540 NORTH AVE # 2036Union, NJ 07083-7148

Mailing Address1800 Phoenix Blvd Ste 128-12Atlanta, GA 30349-5593 · (678) 525-7787

Phone(912) 844-3313

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 31, 2021

Last NPPES UpdateNovember 28, 20233 updates tracked since enumeration

NPPES CertifiedNovember 28, 2023

✔ NPI 1790363653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0808X

Licenses✔ Licensed in NJ · 26NJ14933300✔ Licensed in OR · 10009869✔ Licensed in WA · AP61395314✔ Licensed in GA · RN263471

Also ListedRegistered NurseTaxonomy 163W00000X · License RN263471 (GA)

540 NORTH AVE # 2036, Union, NJ 07083

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

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

Shiyanbola Ajao 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 ID8729427927

PECOS Enrollment IDI20240422000691

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 07083 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 Shiyanbola Ajao's NPI number?

The NPI number for Shiyanbola Ajao is 1790363653. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Shiyanbola Ajao located?

Shiyanbola Ajao practices at 540 North Ave # 2036, Union, NJ 07083. The listed phone number is (912) 844-3313.

What is Shiyanbola Ajao's specialty?

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

Is Shiyanbola Ajao enrolled in Medicare?

Yes. Shiyanbola Ajao 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.

What insurance does Shiyanbola Ajao accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Shiyanbola Ajao as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shiyanbola Ajao was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.