MICHAEL OLUKOTUN (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1770027138

MICHAEL OLUKOTUN (APN) is a healthcare provider. based in Lakewood, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. SP016629 (PA). The NPI Number for MICHAEL OLUKOTUN (APN) is 1770027138

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL OLUKOTUN (APN)
NPI
1770027138
Phone
(732) 240-7809
Address
600 RIVER AVE
Enumeration Date
5 December 2016
Last Update Date
9 May 2023

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6464507748
Graduation Year
2016 (10 years ago)
PAC ID
3779841028
Group Practice PAC ID
6709272008
Professional Enrollment ID
I20171214002901
Address ID
NJ070305990HO221XXSTXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:9State licenses:6Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

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Provider Addresses for MICHAEL OLUKOTUN (APN)

  • Monmouth Medical Center, Southern Campus, 600, River Avenue, Seven Stars, Lakewood, Ocean County, New Jersey, 08701, United States

    LAKEWOOD, NJ 087015237

    Phone: (732) 240-7809

    Type: Mailing

  • 11 KANABE DR

    WESTAMPTON, NJ 080603754

    Phone: (856) 534-1668

    Type: Mailing

  • 221 RIVER ST STE 9

    HOBOKEN, NJ 070305990

    Phone: (855) 765-6399

    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: 2023-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20171214002901INurse PractitionerNJTBD
I20221018003708INurse PractitionerFLTBD
I20221103000594INurse PractitionerNYTBD
I20221123001698INurse PractitionerCTTBD
I20230516002698INurse PractitionerVTTBD

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 08701)

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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: 6709272008View full group profile
NameSpecialtyState
Mental Health CounselorNY
Mental Health CounselorNJ
Mental Health CounselorNY
Mental Health CounselorNJ

Reviews

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Frequently asked questions

What is the standard ID for MICHAEL OLUKOTUN (APN) in the U.S.?
In the U.S., MICHAEL OLUKOTUN (APN) is identified by NPI 1770027138.
Does the public listing show MICHAEL OLUKOTUN (APN) as active?
MICHAEL OLUKOTUN (APN)'s NPI record reflects an active status in NPPES.
What type of care does MICHAEL OLUKOTUN (APN) provide?
MICHAEL OLUKOTUN (APN)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MICHAEL OLUKOTUN (APN)?
MICHAEL OLUKOTUN (APN) is associated with Lakewood, New Jersey in the same public data insurers reference.
Can I export MICHAEL OLUKOTUN (APN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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