Individual provider Active NPI

Beatrice Iloka, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceville, NJ
National Provider Identifier
1174903751
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00570000 Issued in NJ
Practice address
2550 Brunswick Pike
Lawrenceville, NJ 08648-4103
Phone
(609) 396-8877
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00570000 NJ Primary

Addresses

Primary practice location

2550 Brunswick Pike
Lawrenceville, NJ 08648-4103

Mailing address

2550 Brunswick Pike
Lawrenceville, NJ 08648-4103
Phone (609) 396-8877

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
I20160322001677 NJ Practitioner - Nurse Practitioner 1052618857 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindwell Behavioral HealthGroup PAC ID 4880080266, 11 clinicians

Practice addresses (Care Compare)

1901 N Olden Ave Ext
Suite 29
Ewing, NJ 08618-2111
Phone (609) 237-7100

23 Hamilton Lakes Dr
Hamilton, NJ 08619-3441
Phone (609) 369-4699

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00570000NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suci Behavioral Health Services LLC CurrentSince May 20, 2022 Accepting new patients
NJ Memory and Behavioral Care CurrentSince Jul 15, 2022 Accepting new patients
Mindwell Behavioral Health CurrentSince Aug 28, 2023 Accepting new patients
Ihpnj ER LLC CurrentSince Jun 1, 2024 Accepting new patients
Catholic Charities, Diocese of Trenton CurrentSince Aug 12, 2019 Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335

613 Park Ave
Ste 2
East Orange, NJ 07017

1901 N Olden Avenue Ext
Ste 29
Ewing, NJ 08618
Phone (609) 237-7100

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

383 W State St
Trenton, NJ 08618
Phone (609) 278-4933

39 N Clinton Ave
Trenton, NJ 08609
Phone (609) 394-5157

Organizations & group practices 5

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1174903751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 BRUNSWICK PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484103",
            "telephone_number": "609-396-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 BRUNSWICK PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484103",
            "telephone_number": "609-396-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILOKA",
        "first_name": "BEATRICE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00570000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.