Individual provider Active NPI

Lilian Akinyi Ilamahana, NURSE PRACTITIONER

  • Nurse Practitioner
  • Old Bridge, NJ
National Provider Identifier
1093462152
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01208000 Issued in NJ
Practice address
2982 Highway 516
Old Bridge, NJ 08857-2325
Phone
(866) 389-2727
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 26NJ01208000 NJ Primary

Addresses

Primary practice location

2982 Highway 516
Old Bridge, NJ 08857-2325

Mailing address

2901 Rivendell Way
Edison, NJ 08817-2073
Phone (862) 902-9443

Other practice location 1

2901 Rivendell Way
Edison, NJ 08817-2073
Phone (862) 902-9443

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
I20220824002062 NJ Practitioner - Nurse Practitioner 3577946557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University HospitalGroup PAC ID 5294636874, 77 clinicians

Practice addresses (Care Compare)

150 Bergen St
RM M 219
Newark, NJ 07103-2496
Phone (973) 972-4112

Hospital & facility affiliations

  • The University Hospital Hospital, Newark, NJ, CCN 310119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01208000NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital Multi-Specialty CurrentSince Apr 3, 2023 Accepting new patients
University Hospital CurrentSince Apr 3, 2023 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Multi-Specialty CurrentSince Jul 22, 2022 Accepting new patients

Locations

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

150 Bergen St
Rm M219
Newark, NJ 07103
Phone (973) 972-1193

2982 Highway 516
Old Bridge, NJ 08857

Interoperability endpoints

  • FHIR API: https://epicproxy.et0434.epichosted.com/APIProxyPRD/UHNJ/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 1

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": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1093462152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 RIVENDELL WAY",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172073",
            "telephone_number": "862-902-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2982 HIGHWAY 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572325",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Rivendell Way",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088172073",
            "country_code": "US",
            "telephone_number": "862-902-9443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILAMAHANA",
        "first_name": "LILIAN",
        "middle_name": "AKINYI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01208000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.