Individual provider Active NPI

Lilian Orellana

  • Gerontology Nurse Practitioner
  • Teaneck, NJ
National Provider Identifier
1093312068
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01064300 Issued in NJ
Practice address
381 Teaneck Rd Lowr Level
Teaneck, NJ 07666-4069
Phone
(201) 965-5151
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 26NR13351600 NJ
Gerontology Nurse Practitioner 363LG0600X 26NJ01064300 NJ Primary

Addresses

Primary practice location

381 Teaneck Rd Lowr Level
Teaneck, NJ 07666-4069

Mailing address

112 Pershing Ave
Ridgewood, NJ 07450-3512
Phone (201) 965-5151

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
I20201201003261 NJ Practitioner - Nurse Practitioner 0042621724 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Group of Bergen County PAGroup PAC ID 5698755056, 26 clinicians

Practice addresses (Care Compare)

1200 E Ridgewood Ave
2ND FLR East Wing Suite 208
Ridgewood, NJ 07450-3957
Phone (201) 444-0868

Hospital & facility affiliations

  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR13351600NJMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Group of Bergen County PA CurrentSince Aug 31, 2024 Accepting new patients
New Jersey Spine and Pain Institute LLC CurrentSince Dec 7, 2020 Accepting new patients

Locations

19 E 27th St
Bayonne, NJ 07002
Phone (201) 339-1414

1200 E Ridgewood Ave
Ste 208
Ridgewood, NJ 07450
Phone (201) 444-0631

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25202/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lilian.orellana.1@25202.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1093312068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PERSHING AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503512",
            "telephone_number": "201-965-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 TEANECK RD LOWR LEVEL",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664069",
            "telephone_number": "201-965-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORELLANA",
        "first_name": "LILIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NJ",
            "license": "26NR13351600",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01064300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.