Jennifer Ekwutosi Adjara, NP
Individual provider Active NPI Nurse Practitioner · Albany, NY
NPI 1659645158 · NPPES record last updated Jun 12, 2019
Key facts
- NPI
- 1659645158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 305738 (NY)
- Practice address
- 7 Southwoods Blvd
Albany, NY 12211 - Phone
- (518) 292-6000
- Fax
- (518) 292-6087
- NPI assigned
- Feb 29, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Capital Cardiology Associates PLLC
Practice addresses (Care Compare)
2200 Burdett Ave
Suite 202
Troy, NY 12180-2451
Phone (518) 292-6200
315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1550
47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3125
Hospital & facility affiliations
- St Peter'S Hospital
- Ellis Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140401001490 | NY | Practitioner - Nurse Practitioner | 0547491706 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340820 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Healthcare Services PLLC | Nurse Practitioner | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Nurse Practitioner | Current |
Accepting new patients |
| Albany Medical College | Nurse Practitioner | Current | Accepting new patients |
| Hospitalist Healthcare Services PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Albany Medical College | Current |
Accepting new patients | |
| Albany Medical College | Nurse Practitioner | Past | Accepting new patients |
| R.G. Psychological Services, P.C. | Past | Accepting new patients | |
| Burdett Orthopedics, PC | Past |
Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
47 New Scotland Ave
#70
Albany, NY 12208
Phone (518) 262-5226
7 Southwoods Blvd
Albany, NY 12211
Phone (518) 292-6060
6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010
820 Albany Shaker Rd
Loudonville, NY 12211
Phone (518) 869-2231
2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040
100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813
Interoperability endpoints
- jadjara788571@direct.trinity-health.org
- ms_jadjara@landmarkhealth-direct.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 340820 | NY | |
| Nurse Practitioner | 363L00000X | 305738 | NY | Yes |
Addresses
Primary practice location
7 Southwoods Blvd
Albany, NY 12211
Mailing address
7 Southwoods Blvd
Albany, NY 12211
Phone (518) 292-6000
Other practice location 1
47 New Scotland Ave
Mail Code 70
Albany, NY 12208-3412
Phone (518) 262-5226
Other names
- Jennifer Iwumune
Other providers in Albany, NY
- Folafoluwa Adesina
- Angela Adger
- Khaled Adil
- Adirondack Diagnostic Imaging of Albany
- Adirondack Oral & Maxillofacial Surgery
- Lori Beth Adkins
- Phyllis L. Adler
- Rebecca Adler
- Adomfeh Healthcare, PLLC
- Charles Nyarko Adomfeh
All providers in Albany, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2019. 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.