Provider Demographics
NPI:1902607542
Name:STADD MED CONSULT
Entity type:Organization
Organization Name:STADD MED CONSULT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLUWASEUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEOTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-296-7963
Mailing Address - Street 1:20 MAY TER
Mailing Address - Street 2:
Mailing Address - City:VAUXHALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07088-1212
Mailing Address - Country:US
Mailing Address - Phone:908-494-6931
Mailing Address - Fax:
Practice Address - Street 1:20 MAY TER
Practice Address - Street 2:
Practice Address - City:VAUXHALL
Practice Address - State:NJ
Practice Address - Zip Code:07088-1212
Practice Address - Country:US
Practice Address - Phone:908-494-6931
Practice Address - Fax:973-351-1288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty