Provider Demographics
NPI:1861382319
Name:ADETULE, ADENIKE FOLAKE
Entity type:Individual
Prefix:MRS
First Name:ADENIKE
Middle Name:FOLAKE
Last Name:ADETULE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 NOTTINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7932
Mailing Address - Country:US
Mailing Address - Phone:973-489-1370
Mailing Address - Fax:973-489-1370
Practice Address - Street 1:11 DUNDAR RD STE 207
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-3513
Practice Address - Country:US
Practice Address - Phone:973-489-1370
Practice Address - Fax:973-489-1370
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15290300363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health