Elizabeth Olayinka Akinlolu
Individual provider Active NPI Family Nurse Practitioner · Beachwood, NJ
NPI 1013488089 · NPPES record last updated Dec 16, 2018
Key facts
- NPI
- 1013488089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ00885200 (NJ)
- Practice address
- 1324 Longboat Ave
Beachwood, NJ 08722-4304 - Phone
- (732) 240-2510
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Wound and Vascular Institute PC
Practice addresses (Care Compare)
303 George St
Suite 105
New Brunswick, NJ 08901-2009
Phone (888) 402-0202
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190409001128 | NJ | Practitioner - Nurse Practitioner | 1052652658 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00885200 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Wound & Vascular Institute PC | Single Specialty | Current |
Accepting new patients |
Locations
303 George St
Ste 105
New Brunswick, NJ 08901
Phone (732) 846-6100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 26NJ00885200 | NJ | Yes |
Addresses
Primary practice location
1324 Longboat Ave
Beachwood, NJ 08722-4304
Mailing address
1324 Longboat Ave
Beachwood, NJ 08722-4304
Phone (732) 240-2510
Other providers in Beachwood, NJ
- 21 Plus, Inc.
- 21 Plus, Inc.
- Ranvir Ahlawat
- Kyrsten Maria Asbjorn
- Beachwood Dental Arts, LLC
- Beachwood Emergency Medical Services Inc.
- Beachwood Low Back Rehab Center
- Beautiful Minds Counseling Center, LLC
All providers in Beachwood, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.