CHRISTIANAH OMOTAYO ADEGBITE (APN) – Psychiatry Physician, NPI 1629666755

CHRISTIANAH OMOTAYO ADEGBITE (APN) is a healthcare provider. based in Barnegat, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 26NJ01090800 (NJ). The NPI Number for CHRISTIANAH OMOTAYO ADEGBITE (APN) is 1629666755

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTIANAH OMOTAYO ADEGBITE (APN)
NPI
1629666755
Phone
(732) 900-9087
Address
105 HAWTHORNE LN
Enumeration Date
5 January 2021
Deactivation Date
20 November 2025
Reactivation Date
15 January 2026
Last Update Date
15 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7328864648
Graduation Year
2020 (6 years ago)
PAC ID
0143639278
Group Practice PAC ID
0648172809
Professional Enrollment ID
I20210503000269
Address ID
NJ087015237LA600XXAVEX300

Contacts

Other Endpoint
Manchester
FHIR Endpoint
bethelbhc@gmail.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness95
Years active:5State licenses:1Other names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for CHRISTIANAH OMOTAYO ADEGBITE (APN)

  • 105 HAWTHORNE LN

    BARNEGAT, NJ 080055659

    Phone: (732) 900-9087

    Type: Mailing

  • 105 SCOTIA CT

    MANCHESTER, NJ 087596252

    Phone: (732) 900-9087

    Type: Mailing

  • 662 COMMONS WAY

    TOMS RIVER, NJ 087556431

    Phone: (732) 900-9087

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210503000269INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6334$0
99214Established patient office or other outpatient visit, 30-39 minutes2616$0
View full utilization report →

Insurance plans in this area (ZIP 08005)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648172809View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for CHRISTIANAH OMOTAYO ADEGBITE (APN)?
CHRISTIANAH OMOTAYO ADEGBITE (APN) — NPI 1629666755 — is the standard way to identify this listing.
Does the file indicate CHRISTIANAH OMOTAYO ADEGBITE (APN) is practicing under active NPI?
Directory data currently reports CHRISTIANAH OMOTAYO ADEGBITE (APN) as active.
What is CHRISTIANAH OMOTAYO ADEGBITE (APN)'s specialty?
The listing groups CHRISTIANAH OMOTAYO ADEGBITE (APN) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What address line appears for CHRISTIANAH OMOTAYO ADEGBITE (APN)?
CHRISTIANAH OMOTAYO ADEGBITE (APN)'s geographic hint is Barnegat, New Jersey in our summary view.
Is the information about CHRISTIANAH OMOTAYO ADEGBITE (APN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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