Active NPI
Justina Larbi-Edusei
- Registered Nurse
- Linden, NJ
National Provider Identifier
1649849977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 09926800
- Practice address
- 22 E Saint Georges Ave
Linden, NJ 07036-2936 - Phone
- (908) 925-0704
- NPI assigned
- Jun 21, 2021
- Last updated
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 09926800 | NJ | Primary |
Addresses
Primary practice location
22 E Saint Georges Ave
Linden, NJ 07036-2936
Mailing address
22 Legends Dr
Monroe, NJ 08831-3280
Phone (732) 668-1819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09926800 | NJ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Eastern Co, Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1649849977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 LEGENDS DR",
"city": "MONROE",
"state": "NJ",
"postal_code": "088313280",
"telephone_number": "732-668-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 E SAINT GEORGES AVE",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070362936",
"telephone_number": "908-925-0704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARBI-EDUSEI",
"first_name": "JUSTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-21",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "09926800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Linden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.