Individual provider Active NPI

Rita Nwakauso Aghanwa, FNP

  • Family Nurse Practitioner
  • New Milford, NJ
National Provider Identifier
1447627112
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00580200 Issued in NJ
Practice address
880 River Road
New Milford, NJ 07646-3097
Phone
(201) 225-2101
Fax
(201) 225-2101
NPI assigned
Aug 28, 2015
Last updated
Feb 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00580200 NJ Primary

Addresses

Primary practice location

880 River Road
New Milford, NJ 07646-3097

Mailing address

880 River Road
New Milford, NJ 07646
Phone (201) 225-2101

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
I20151208001139 NJ Practitioner - Nurse Practitioner 8729388186 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00580200NJMDFamily Nurse Practitioner
26NJ00865900NJMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: rita.aghanwa.1@24114.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1447627112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 RIVER ROAD",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "07646",
            "telephone_number": "201-225-2101",
            "fax_number": "201-225-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 RIVER ROAD",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076463097",
            "telephone_number": "201-225-2101",
            "fax_number": "201-225-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHANWA",
        "first_name": "RITA",
        "middle_name": "NWAKAUSO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00580200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, NJ

Sources for this page

Verify at the official NPI Registry.