Individual provider Active NPI

Fehintola Ogunsakin, RN, MSN, APN, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Elizabeth, NJ
National Provider Identifier
1134526759
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00536600 Issued in NJ
Practice address
288 N Broad St FL 2a
Elizabeth, NJ 07208-3711
Phone
(908) 291-3151
Fax
(732) 372-0467
NPI assigned
Nov 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00536600 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00536600 NJ Primary

Addresses

Primary practice location

288 N Broad St FL 2a
Elizabeth, NJ 07208-3711

Mailing address

7 Selma LN
Hazlet, NJ 07730-2475
Phone (732) 939-5885

Other identifiers 1

IdentifierTypeStateIssuer
26NJ00536600OtherNJNJ BOARD OF NURSING LICENSE

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
I20150420000104 NJ Practitioner - Nurse Practitioner 8921326174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

288 N Broad St
Suite 2a
Elizabeth, NJ 07208-3711
Phone (908) 291-3151

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Nursing Services Current Accepting new patients
Precious Medical Care LLC Psychiatric/Mental Health CurrentSince Dec 18, 2019 Accepting new patients

Locations

288 N Broad St
Fl 2A
Elizabeth, NJ 07208
Phone (732) 503-3063

288 N Broad St
Ste 2A
Elizabeth, NJ 07208
Phone (908) 291-3151

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1134526759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SELMA LN",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077302475",
            "telephone_number": "732-939-5885",
            "fax_number": "732-939-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 N BROAD ST FL 2A",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083711",
            "telephone_number": "908-291-3151",
            "fax_number": "732-372-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNSAKIN",
        "first_name": "FEHINTOLA",
        "name_prefix": "Dr.",
        "credential": "RN, MSN, APN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00536600",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00536600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF NURSING LICENSE",
            "identifier": "26NJ00536600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.