Provider Demographics
NPI:1134526759
Name:OGUNSAKIN, FEHINTOLA (RN, MSN, APN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:FEHINTOLA
Middle Name:
Last Name:OGUNSAKIN
Suffix:
Gender:F
Credentials:RN, MSN, APN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SELMA LN
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-2475
Mailing Address - Country:US
Mailing Address - Phone:732-939-5885
Mailing Address - Fax:732-939-5885
Practice Address - Street 1:288 N BROAD ST FL 2A
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-3711
Practice Address - Country:US
Practice Address - Phone:908-291-3151
Practice Address - Fax:732-372-0467
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-25
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00536600363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NJ00536600OtherNJ BOARD OF NURSING LICENSE