Provider Demographics
NPI:1700514718
Name:ONIWE, PAUL ADEKUNLE (APN)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:ADEKUNLE
Last Name:ONIWE
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HOME ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-2132
Mailing Address - Country:US
Mailing Address - Phone:908-447-3743
Mailing Address - Fax:
Practice Address - Street 1:11 HOME ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-2132
Practice Address - Country:US
Practice Address - Phone:908-447-3743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01348500363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health