Ajitha Ninan, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00021500 Issued in NJ

Practice address

73 Columbia Ave
Nutley, NJ 07110-2503

Phone

(973) 542-0034

NPI assigned

Feb 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Rwjbh Emergency Medicine Associates, LLC

  • Emergency Medicine Physician
  • Somerset, NJ
  • NPI 1912510041

  Adult Health

  Medicare reassignment NPD
• Rwjbh Observation Associates LLC

  • Emergency Medicine Physician
  • Livingston, NJ
  • NPI 1760095806

  Adult Health

  Medicare reassignment NPD
• University Hospital

  • Clinic/Center
  • Newark, NJ
  • NPI 1609178276
  Medicare reassignment NPD
• University Hospital

  • Community/Retail Pharmacy
  • Newark, NJ
  • NPI 1306596390
  NPD

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1285092205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 COLUMBIA AVENUE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102503",
            "telephone_number": "973-542-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 COLUMBIA AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102503",
            "telephone_number": "973-542-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINAN",
        "first_name": "AJITHA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00021500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Jersey CVS Pharmacy LLC
• New Life Medical PC
• Matthew Nicastro
• Nicholas F. Stabile, DC, PC
• Suruthica Nimalan
• NJ Doctors Urgent Care LLC
• NJ Ortho Bracing, LLC
• NJ Orthopedic and Sports Medicine
• Barbara Bousi Njuguna, FNP
• North East Property Solutions, Inc

• Adult Health Nurse Practitioner in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.

Verify at the official NPI Registry.