Lulu A Jimma, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA07946700 Issued in NJ

Practice address

1 Third St
Bordentown, NJ 08505-1321

Phone

(609) 298-2005

Fax

(609) 324-8267

NPI assigned

May 26, 2006

Last updated

Jun 2, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Current Care of New Jersey PAGroup PAC ID 1153461264, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hackensackmeridian.lulujimma@136290.advancedmd-direct.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72983
• Direct secure messaging: ljimma45971@epicdirect.rwjbh.org

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.

• American Current Care of New Jersey, P.a.

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1609044999

  NJ

  Medicare reassignment Care Compare group NPD
• The Osborn Family Health Center, Inc.

  • Family Medicine Physician
  • Camden, NJ
  • NPI 1528444254
  Medicare reassignment NPD
• American Current Care of New Jersey PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Rahway, NJ
  • NPI 1083192561
  NPD
• American Current Care of New Jersey PA

  • Urgent Care Clinic/Center
  • Mount Laurel, NJ
  • NPI 1821266156
  NPD
• American Current Care of New Jersey PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Cherry Hill, NJ
  • NPI 1831481589
  NPD
• The Osborn Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Camden, NJ
  • NPI 1730695305
  NPD
• Central Jersey Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1710199468
  NPD (past)
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  NPD (past)
• Montefiore Medical Center

  dba Montefiore Community Pharmacy @ CHAM

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD (past)
• Montefiore Medical Center

  dba Comm Health Care Center, Comm Family Care Center, Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1659446680
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1669428793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-2946",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780001",
            "telephone_number": "609-815-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 THIRD ST",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051321",
            "telephone_number": "609-298-2005",
            "fax_number": "609-324-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMMA",
        "first_name": "LULU",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07946700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0191141",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Schwartz Israelsky, M.A. CCC
• Jacqueline Farnese, Psy.D., LLC
• Heather Jantz-Haun, LAC
• Jaymar Homecare Dba Synergy Homecare
• Rachael Jennings, APN
• Jkor, LLC
• Florence Johnson
• Rachel A Johnson, LCSW
• Jelisa M Jones, MA, LAC, NCC
• Lindsey Jonin, LPC, LPAT, ATR-BC

• Family Medicine Physician in Bordentown, NJ
• Providers in Bordentown, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.