Individual provider Active NPI

Irina Efraimovich, APN

  • Adult Health Nurse Practitioner
  • Maplewood, NJ
National Provider Identifier
1124348354
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00290800 Issued in NJ
Practice address
749B Irvington Avenue
Maplewood, NJ 07040
Phone
(973) 762-6033
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00290800 NJ Primary

Addresses

Primary practice location

749B Irvington Avenue
Maplewood, NJ 07040

Mailing address

749B Irvington Ave
Maplewood, NJ 07040-1607
Phone (973) 762-6033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120320000706 NJ Practitioner - Nurse Practitioner 3173783669 Reassigns benefits to 6 organizations
I20260505000840 PA Practitioner - Nurse Practitioner 3173783669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Senior Care LLCGroup PAC ID 4880198613, 11 clinicians
SD Medical CorpGroup PAC ID 6507889441, 3 clinicians
Alla Katseva,MD,LLCGroup PAC ID 7315129798, 5 clinicians

Practice addresses (Care Compare)

1001 W Main St
Suite a
Freehold, NJ 07728-2579
Phone (732) 637-8444

407 Main St
Suite 1
Spotswood, NJ 08884-1739
Phone (732) 416-0065

561 Cranbury Rd
Suite L
East Brunswick, NJ 08816-5400
Phone (732) 238-8200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alla Katseva,MD,LLC CurrentSince Sep 8, 2022 Accepting new patients
SD Medical Corp CurrentSince Jan 1, 2023 Accepting new patients
Rgohel LLC CurrentSince Jan 15, 2019 Accepting new patients
Atlas Medical Care,LLC CurrentSince Jan 1, 2021 Accepting new patients
Rekha Gohel MD LLC CurrentSince Jun 1, 2018 Accepting new patients
Irina Nurse Practitioner, LLC. Current Accepting new patients

Locations

561 Cranbury Rd
Ste L
East Brunswick, NJ 08816
Phone (732) 238-8200

318 Professional View Dr
Fl 2
Freehold, NJ 07728
Phone (732) 409-6440

318 Professional View Dr
Freehold, NJ 07728
Phone (732) 341-9500

1001 W Main St
Ste A
Freehold, NJ 07728
Phone (732) 354-3792

407 Main St
Ste 1
Spotswood, NJ 08884
Phone (732) 416-0065

9867 Bustleton Ave
Ste B
Philadelphia, PA 19115
Phone (215) 698-8171

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1124348354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749B IRVINGTON AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401607",
            "telephone_number": "973-762-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749B IRVINGTON AVENUE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "07040",
            "telephone_number": "973-762-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFRAIMOVICH",
        "first_name": "IRINA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00290800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

Verify at the official NPI Registry.