Adaku Ezeadi

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ01155300 Issued in NJ

Practice address

181 Pleasant Valley Way
West Orange, NJ 07052-2906

Phone

(862) 224-9480

NPI assigned

Jun 17, 2021

Last updated

Jun 17, 2021By the provider in NPPES

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vanguard Medical Group PAGroup PAC ID 5092751842, 59 clinicians

Vanguard North Haledon and Oakland PAGroup PAC ID 8022248012, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Patient Care Home health agency, West Orange, NJ, CCN 317060
• Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adaku.ezeadi.3@25493.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25493/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Care for the Homebound PA

  • Home Health Agency
  • Verona, NJ
  • NPI 1609206671

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Vanguard Medical Group, PA

  dba Town Medical Associates, P.A.

  • Family Medicine Physician
  • Verona, NJ
  • NPI 1073674412

  Single Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp.

  dba Atlantic Home Care & Hospice

  • Home Health Agency
  • Morristown, NJ
  • NPI 1962479667
  Care Compare affiliation
• Patient Care Medical Services, Inc.

  dba Patient Care

  • Home Health Agency
  • West Orange, NJ
  • NPI 1922089929
  Care Compare affiliation

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1306415088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522906",
            "telephone_number": "862-224-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522906",
            "telephone_number": "862-224-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEADI",
        "first_name": "ADAKU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01155300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Excel Therapeutics, LLC
• Exelixis ABA Therapy and Behavior Consulting LLC
• Expressive Minds Therapy LLC
• Eyecare 20/20- West Orange PA
• Richard Wayne Eytel, DMD
• Dara Blum Facciani, PA-C
• Christine Faccone, LPC
• Sydney Fackrell, PT, DPT
• Adila Asim Fakhar, RD
• Evie L Falda

• Gerontology Nurse Practitioner in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.