Active NPI
Anthony A Adeyinka, FNP
- Family Nurse Practitioner
- Jersey City, NJ
National Provider Identifier
1023409117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00534200
- Practice address
- Harborside Financial Center, Plaza 10
Suite 803
Jersey City, NJ 07311 - Phone
- (973) 202-4290
- Fax
- (973) 762-4140
- NPI assigned
- Feb 10, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00534200 | NJ | Primary |
Addresses
Primary practice location
Harborside Financial Center, Plaza 10
Suite 803
Jersey City, NJ 07311
Mailing address
54 Fernwood Rd
Maplewood, NJ 07040-1622
Phone (973) 202-4290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00534200 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crosslinks Care LLC | Current | Accepting new patients | |
| Crosslinks Care LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Irvington, NJ
- NPI 1790008969
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Irvington, NJ
- NPI 1447939962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1023409117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 FERNWOOD RD",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070401622",
"telephone_number": "973-202-4290",
"fax_number": "973-762-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HARBORSIDE FINANCIAL CENTER, PLAZA 10",
"address_2": "SUITE 803",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07311",
"telephone_number": "973-202-4290",
"fax_number": "973-762-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEYINKA",
"first_name": "ANTHONY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-10",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00534200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.