Provider Demographics
NPI:1013565886
Name:ADEOTI, OLUWASEUN TITILOPE (NP)
Entity type:Individual
Prefix:MRS
First Name:OLUWASEUN
Middle Name:TITILOPE
Last Name:ADEOTI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:OLUWASEUN
Other - Middle Name:TITILOPE
Other - Last Name:OMODARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 MAY TER
Mailing Address - Street 2:
Mailing Address - City:VAUXHALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07088-1212
Mailing Address - Country:US
Mailing Address - Phone:908-296-7963
Mailing Address - Fax:973-351-1288
Practice Address - Street 1:20 MAY TER
Practice Address - Street 2:
Practice Address - City:VAUXHALL
Practice Address - State:NJ
Practice Address - Zip Code:07088-1212
Practice Address - Country:US
Practice Address - Phone:908-296-7963
Practice Address - Fax:973-351-1288
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-26
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00948800363LF0000X, 363LP0808X
NYF344464-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily