Provider Demographics
NPI:1396311452
Name:ALUKO, OLUSEYI AYODEJI (APN , PMHNP)
Entity type:Individual
Prefix:
First Name:OLUSEYI
Middle Name:AYODEJI
Last Name:ALUKO
Suffix:
Gender:M
Credentials:APN , PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 SHELLEY RD
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3606
Mailing Address - Country:US
Mailing Address - Phone:848-250-2900
Mailing Address - Fax:
Practice Address - Street 1:22 SHELLEY RD
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3606
Practice Address - Country:US
Practice Address - Phone:848-250-2900
Practice Address - Fax:732-764-3860
Is Sole Proprietor?:No
Enumeration Date:2021-05-31
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01156300363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health