Ilera Medical LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ILERA MEDICAL LLC

Practice address

324 Brewster Rd
Bristol, CT 06010-5216

Phone

(860) 940-9999

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

Margaret Omojola, APRNNPI 1285070854

Title

Aprn

Phone

(860) 940-9999

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret Olusesan Omojola, A.P.R.N.

  • Family Nurse Practitioner
  • Waterbury, CT
  • NPI 1285070854
  NPD Authorized official

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1508581752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 BREWSTER RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105216",
            "telephone_number": "860-940-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 BREWSTER RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105216",
            "telephone_number": "860-940-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILERA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "OMOJOLA",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "860-940-9999",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Hunter, MD
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• Rebecca Iannucci, APRN FNP-BC
• Adnan Idlibi, DMD
• Ammar Idlibi, D.M.D
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• Family Nurse Practitioner in Bristol, CT
• Providers in Bristol, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.