Active NPI
Abosede Cecilia Ojo, AGNP
- Gerontology Nurse Practitioner
- Brick, NJ
National Provider Identifier
1104523752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NJ01414500
- Practice address
- 75 Old Toms River Rd
Brick, NJ 08723-7800 - Phone
- (732) 451-1000
- NPI assigned
- Feb 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ01414500 | NJ | Primary |
Addresses
Primary practice location
75 Old Toms River Rd
Brick, NJ 08723-7800
Mailing address
305 Grant Ave
Pine Beach, NJ 08741-1522
Phone (732) 600-9670
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates of New Jersey, LLC | Current | Accepting new patients | |
| Monogram Health Professional Services of New Jersey LLC | Current | Accepting new patients |
Locations
140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900
116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
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.
-
- Nephrology Physician
- Paramus, NJ
- NPI 1578284246
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1104523752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 GRANT AVE",
"city": "PINE BEACH",
"state": "NJ",
"postal_code": "087411522",
"telephone_number": "732-600-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 OLD TOMS RIVER RD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087237800",
"telephone_number": "732-451-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OJO",
"first_name": "ABOSEDE",
"middle_name": "CECILIA",
"credential": "AGNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-14",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ01414500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.