Individual provider Active NPI

Funmilayo Foluke Adeniranye, APN

  • Primary Care Nurse Practitioner
  • New Brunswick, NJ
National Provider Identifier
1609258151
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00569800 Issued in NJ
Practice address
195 Little Albany St
New Brunswick, NJ 08901-1914
Phone
(732) 235-6455
Fax
(732) 235-6462
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ00569800 NJ Primary

Addresses

Primary practice location

195 Little Albany St
New Brunswick, NJ 08901-1914

Mailing address

195 Little Albany St
New Brunswick, NJ 08901-1914
Phone (732) 235-6455

Other names 1

  • Funmilayo Akinbobola Former name

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
I20160114002415 NJ Practitioner - Nurse Practitioner 5193026425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Medical Group PCGroup PAC ID 3173049962, 8 clinicians

Practice addresses (Care Compare)

70 S Orange Ave
Suite 235
Livingston, NJ 07039-4915

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Life Mobile Imaging, Inc CurrentSince Jan 1, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 19, 2016 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 19, 2016 Accepting new patients
Life Medical Group, PC CurrentSince Feb 1, 2025 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

70 S Orange Ave
Ste 235
Livingston, NJ 07039
Phone (973) 607-4911

70 S Orange Ave
Ste 140
Livingston, NJ 07039
Phone (973) 650-0542

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

195 Little Albany St
New Brunswick, NJ 08901
Phone (732) 235-2465

80 Main St
Ste 300
West Orange, NJ 07052
Phone (855) 619-4448

80 Main St
West Orange, NJ 07052
Phone (973) 243-9666

Interoperability endpoints

  • Direct secure messaging: funmilayo.adeniranye.p2@direct.vnahg.nextgenshare.com
  • Direct secure messaging: funmilayo.adeniranye.1@32967.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1609258151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 LITTLE ALBANY ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011914",
            "telephone_number": "732-235-6455",
            "fax_number": "732-235-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 LITTLE ALBANY ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011914",
            "telephone_number": "732-235-6455",
            "fax_number": "732-235-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENIRANYE",
        "first_name": "FUNMILAYO",
        "middle_name": "FOLUKE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00569800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FUNMILAYO",
            "last_name": "AKINBOBOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.