ADEDOYIN HEZEKIAH ASIMOLOWO
NPI 1821786146
Nurse Practitioner - Psychiatric/Mental Health in Irvington, NJ

Active since April 25, 2023PECOS Enrolled
647 STUYVESANT AVE, IRVINGTON, NJ 07111(908) 370-7546 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adedoyin Hezekiah Asimolowo NPPES

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

ADEDOYIN HEZEKIAH ASIMOLOWO (NPI 1821786146) is an individual psychiatric/mental health provider in Irvington, New Jersey, licensed in New Jersey (26NJ01468900) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821786146
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameADEDOYIN HEZEKIAH ASIMOLOWO
Location Address647 STUYVESANT AVEIrvington, NJ 07111-1822
Mailing Address1957 Long TerUnion, NJ 07083-5406 · (908) 370-7546
Sole ProprietorYes
Enumeration DateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1821786146 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 · 26NJ01468900
647 STUYVESANT AVE, Irvington, NJ 07111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adedoyin Hezekiah Asimolowo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Adedoyin Asimolowo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
647 STUYVESANT AVE
Irvington, NJ 07111
  • Reassigned Medicare billing, New Jersey enrollment
Psychiatric/Mental Health
188 FRIES MILL RD STE E2
Blackwood, NJ 08012
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group

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 07111 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)
647 STUYVESANT AVE
IRVINGTON, NJ 07111

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 Adedoyin Asimolowo's NPI number?

The NPI number for Adedoyin Asimolowo is 1821786146. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is Adedoyin Asimolowo located?

Adedoyin Asimolowo practices at 647 Stuyvesant Ave, Irvington, NJ 07111. The listed phone number is (908) 370-7546.

What is Adedoyin Asimolowo's specialty?

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

Is Adedoyin Asimolowo enrolled in Medicare?

Yes. Adedoyin Asimolowo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adedoyin Asimolowo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adedoyin Asimolowo reassigns Medicare benefits to 2 organizations: Comfort Behavioral Health Care LLC (Irvington, NJ) and Victory Psych Consultation Services (Blackwood, 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 Adedoyin Asimolowo'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 Adedoyin Asimolowo was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.