Angela K Akubueze – Gerontology Nurse Practitioner

Key facts

NPI: 1104378512
Entity type: Individual (NPI type 1)
Primary specialty: Gerontology Nurse Practitioner 363LG0600X
License: 26NJ00707100 (NJ)
Practice address: 65 James St
Edison, NJ 08820-3947
Phone: (732) 321-7000
NPI assigned: Nov 2, 2016
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

NJ Acute Care Specialists Professional Corporation Hospitalist Physician · East Orange, NJ · NPI 1073805917

Medicare reassignment Care Compare group NPD NJ

Hospital & facility affiliations 1

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

Centrastate Medical Center, Inc General Acute Care Hospital · Freehold, NJ · NPI 1295718450

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2016
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: NJ Acute Care Specialists Professional Corporation (55 clinicians)

Practice addresses (Care Compare)

901 W Main St
Freehold, NJ 07728-2537
Phone (973) 831-5000

Hospital & facility affiliations

Centrastate Medical Center Hospital · Freehold, NJ · CCN 310111

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
I20171017000808	NJ	Practitioner - Nurse Practitioner	0143596312	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
SP016599	PA	MD	Gerontology Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
NJ Acute Care Specialists Professional Corporation		Current since Jan 1, 2022	Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

Interoperability endpoints

Direct secure messaging: aakubueze430668@direct.ahsys.org

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Gerontology Nurse Practitioner	363LG0600X	SP016599	PA
Gerontology Nurse Practitioner	363LG0600X	26NJ00707100	NJ	Yes

Addresses

Primary practice location

65 James St
Edison, NJ 08820-3947

Mailing address

55 Hilliard Rd
Old Bridge, NJ 08857-1534
Phone (732) 251-3939

Other providers in Edison, NJ

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Akshar Nemt & Cab LLC
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Zaid Amr Mohamed Al-Jabiri, MD
Monica Alaigh, PHARMD
Jahen Zeb Alam
Alan B. Goldberg DDS LLC
Lori D Alberti, PT

All providers in Edison, NJ · Gerontology 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 Mar 30, 2017. 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.

Verify at the official NPI Registry.