MR. ADAM JIMOH (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1821352634
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,574 NURSE PRACTITIONER in NJ
Provider Addresses for MR. ADAM JIMOH (PMHNP)
303 COMMODORE TER
EDGEWATER, NJ 070201184
Phone: (732) 423-7396
Type: Mailing
500 N BRIDGE ST
BRIDGEWATER, NJ 088072135
Phone: (908) 725-2800
Fax: (908) 704-1790
Type: Mailing
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: 2025-11-19
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240502002841 | I | Nurse Practitioner | NY | TBD |
| I20250423001892 | I | Nurse Practitioner | NJ | TBD |
| I20251119001446 | I | Nurse Practitioner | CT | TBD |
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.
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 07020)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | NJ | |
| N E U R O L O G Y | WV | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | NY | |
| Nurse Practitioner | NY | |
| U R O L O G Y | NJ | |
| Nurse Practitioner | NY | |
| O T O L A R Y N G O L O G Y | NY | |
| Nurse Practitioner | NY | |
| Clinical Social Worker | NY |
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