Provider Demographics
NPI:1184491102
Name:BABARINDE, OLAITAN
Entity type:Individual
Prefix:
First Name:OLAITAN
Middle Name:
Last Name:BABARINDE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CRAIG PL
Mailing Address - Street 2:
Mailing Address - City:NORTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-4777
Mailing Address - Country:US
Mailing Address - Phone:908-791-9993
Mailing Address - Fax:908-791-9995
Practice Address - Street 1:25 CRAIG PL
Practice Address - Street 2:
Practice Address - City:NORTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-4777
Practice Address - Country:US
Practice Address - Phone:908-791-9993
Practice Address - Fax:908-791-9995
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ14932300363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care