Individual provider Active NPI

Elizabeth Olayinka Akinlolu

  • Family Nurse Practitioner
  • Beachwood, NJ
National Provider Identifier
1013488089
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00885200 Issued in NJ
Practice address
1324 Longboat Ave
Beachwood, NJ 08722-4304
Phone
(732) 240-2510
NPI assigned
Dec 16, 2018
Last updated
Dec 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 26NJ00885200 NJ Primary

Addresses

Primary practice location

1324 Longboat Ave
Beachwood, NJ 08722-4304

Mailing address

1324 Longboat Ave
Beachwood, NJ 08722-4304
Phone (732) 240-2510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190409001128 NJ Practitioner - Nurse Practitioner 1052652658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Wound and Vascular Institute PCGroup PAC ID 4880030055, 2 clinicians

Practice addresses (Care Compare)

303 George St
Suite 105
New Brunswick, NJ 08901-2009
Phone (888) 402-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Wound & Vascular Institute PC Single Specialty CurrentSince Oct 1, 2024 Accepting new patients

Locations

303 George St
Ste 105
New Brunswick, NJ 08901
Phone (732) 846-6100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1013488089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 LONGBOAT AVE",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087224304",
            "telephone_number": "732-240-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 LONGBOAT AVE",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087224304",
            "telephone_number": "732-240-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINLOLU",
        "first_name": "ELIZABETH",
        "middle_name": "OLAYINKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00885200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, NJ

Sources for this page

Verify at the official NPI Registry.