Ibiyonu Omowunmi Lawrence, MD
Individual provider Active NPI Internal Medicine Physician · New Brunswick, NJ
NPI 1508829318 · NPPES record last updated Jul 23, 2021
Key facts
- NPI
- 1508829318
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25MA08359900 (NJ)
- Practice address
- 125 Paterson St
New Brunswick, NJ 08901-1962 - Phone
- (732) 235-6968
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Rutgers Health-RWJ Primary Medicine Group
Practice addresses (Care Compare)
125 Paterson St
New Brunswick, NJ 08901-1962
Phone (732) 235-6968
Hospital & facility affiliations
- Visiting Nurse Association of Central Jersey Home Care and Hospice
- Robert Wood Johnson Visiting Nurses, Inc
- Robert Wood Johnson University Hospital
- Robert Wood Johnson University Hospital at Hamilton
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080702000198 | NJ | Practitioner - Internal Medicine |
9537180112 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08359900 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Primary Medicine Group | Internal Medicine | Current |
Accepting new patients |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Capital Health Multispecialty Group | Internal Medicine | Current |
Accepting new patients |
| Rutgers Health-RWJ Primary Medicine Group | Current |
Accepting new patients | |
| Rutgers Health-RWJ Primary Medicine Group | Internal Medicine | Current |
Accepting new patients |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients |
Locations
125 Paterson St
#5200A
New Brunswick, NJ 08901
Phone (732) 235-7217
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
125 Paterson St
Ste 5100A
New Brunswick, NJ 08901
Phone (609) 655-5175
125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511
1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000
1 Worlds Fair Dr
Fl 1
Somerset, NJ 08873
Phone (732) 235-7894
750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000
Interoperability endpoints
- ilawrence47913@epicdirect.rwjbh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 25MA0835900 | NJ | |
| Internal Medicine Physician | 207R00000X | MD439522 | PA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 25MA08359900 | NJ | |
| Internal Medicine Physician | 207R00000X | 25MA08359900 | NJ | Yes |
Addresses
Primary practice location
125 Paterson St
New Brunswick, NJ 08901-1962
Mailing address
PO Box 829642
Philadelphia, PA 19182-9642
Phone (866) 470-6626
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102517277 | Medicaid | PA |
Other providers in New Brunswick, NJ
- Tanushree Laud
- Sonia C. G. Laumbach
- Jacquelyn Lauria
- Risa J. Lavizzo Mourey
- Jammie Law
- Zachary Lawrence
- Jonathan Jospeh Lebowitz
- Dario Alberto Lecusay III
- Magdalene Rose Lederer
- Amanda Lee
All providers in New Brunswick, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.