Provider Demographics
NPI:1740014356
Name:OLADOJA, DAVE OLUYINKA (DNP, APN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:DAVE
Middle Name:OLUYINKA
Last Name:OLADOJA
Suffix:
Gender:M
Credentials:DNP, APN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 LACEY DR
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07646-1107
Mailing Address - Country:US
Mailing Address - Phone:201-367-8840
Mailing Address - Fax:
Practice Address - Street 1:333 LACEY DR
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07646-1107
Practice Address - Country:US
Practice Address - Phone:201-367-8840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15128100363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health