NPIMap

Individual provider Active NPI

Olubukola Olaolu Ogunnowo, NP

  • Family Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1407007453
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00147700 Issued in NJ
Practice address
168 Frontage Rd
Newark, NJ 07114-3721
Phone
(973) 465-3670
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00147700 NJ
Family Nurse Practitioner 363LF0000X 26NJ00147700 NJ Primary

Addresses

Primary practice location

168 Frontage Rd
Newark, NJ 07114-3721

Mailing address

168 Frontage Rd
Newark, NJ 07114-3721
Phone (973) 465-3670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000101 NJ Practitioner - Nurse Practitioner 1850589151 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newark Community Health Centers IncGroup PAC ID 2163334665, 39 clinicians
VPS Medical Services, PCGroup PAC ID 2961836069, 45 clinicians

Practice addresses (Care Compare)

1150 Springfield Ave
Irvington, NJ 07111-2441
Phone (973) 399-6292

3600 State Route 66
Neptune, NJ 07753-2645

444 William St
East Orange Primary Care
East Orange, NJ 07017-2213
Phone (973) 675-1900

Hospital & facility affiliations

  • Robert Wood Johnson Visiting Nurses, Inc Home health agency, North Brunswick, NJ, CCN 317079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Central Jersey, Inc. CurrentSince Jan 1, 2015 Accepting new patients
Newark Community Health Centers, Inc. CurrentSince Jul 18, 2011 Accepting new patients
VPS Medical Services, PC CurrentSince Jan 1, 2020 Accepting new patients
Newark Community Health Centers, Inc CurrentSince Jul 18, 2011 Accepting new patients

Locations

444 William St
East Orange, NJ 07017
Phone (973) 675-1900

23 Main St
#D1
Holmdel, NJ 07733
Phone (732) 224-6914

1150 Springfield Ave
Irvington, NJ 07111
Phone (973) 399-6292

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

3600 State Route 66
Fl 4
Tinton Falls, NJ 07753
Phone (732) 241-4194

1100 Wayside Rd
Tinton Falls, NJ 07712
Phone (732) 493-2220

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA
  • Direct secure messaging: olubukola.ogunnowo@nchc.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: olubukola.ogunnowo.p2@direct.vnahg.nextgenshare.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1407007453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 FRONTAGE RD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071143721",
            "telephone_number": "973-465-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 FRONTAGE RD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071143721",
            "telephone_number": "973-465-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNNOWO",
        "first_name": "OLUBUKOLA",
        "middle_name": "OLAOLU",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00147700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00147700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.