TAIWO GBADEBO (APN) – Nurse Practitioner, NPI 1700201241

TAIWO GBADEBO (APN) is a healthcare provider. based in Marlton, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. SP012781 (PA). The NPI Number for TAIWO GBADEBO (APN) is 1700201241

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
TAIWO GBADEBO (APN)
NPI
1700201241
Phone
(856) 751-2300
Address
301 LIPPINCOTT DR STE 410
Enumeration Date
20 February 2014
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8567512300
Graduation Year
2012 (14 years ago)
PAC ID
6305060633
Group Practice PAC ID
9830222397
Professional Enrollment ID
I20140606001025
Address ID
NJ080439544VO502XXBLVD303
Telehealth
Yes

Contacts

Main Contact
tgbadebo284891@directvirtua.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:12State licenses:2Other names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for TAIWO GBADEBO (APN)

  • 301 LIPPINCOTT DR STE 410

    MARLTON, NJ 080534197

    Phone: (856) 751-2300

    Fax: (856) 751-2333

    Type: Mailing

  • 502 CENTENNIAL BLVD STE 3

    VOORHEES, NJ 080439544

    Phone: (856) 751-2300

    Fax: (856) 751-2333

    Type: Location

  • 2701 ELROY RD APT O08

    HATFIELD, PA 194404320

    Phone: (215) 272-6951

    Type: Mailing

  • 24 Palmer Ct

    Glassboro, NJ 080283017

    Phone: (215) 272-6951

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $595.

Total Amount is formed as General ($595) + Research ($0) + Ownership ($0) = $595.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($104).

Total Amount

$595

General + Research + Ownership

Payments

32

Total payment records

General Amount

$595

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140606001025INurse PractitionerNJTBD
I20231006001601INurse PractitionerPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08053)

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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: 9830222397View full group profile

Reviews

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Frequently asked questions

How do I look up TAIWO GBADEBO (APN) by NPI?
Use NPI 1700201241 when you need to reference TAIWO GBADEBO (APN) in forms, claims, or directories.
Is TAIWO GBADEBO (APN)'s NPI currently valid?
The extract we use shows TAIWO GBADEBO (APN) as active.
Does TAIWO GBADEBO (APN) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for TAIWO GBADEBO (APN). Clinical services aligned with this taxonomy classification.
Where does public data place TAIWO GBADEBO (APN)?
The snapshot lists Marlton, New Jersey for TAIWO GBADEBO (APN); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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