Adebola Ajanaku

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00662000 Issued in NJ

Practice address

1577 Ridgeway St
Union, NJ 07083-5129

Phone

(973) 342-5457

NPI assigned

Aug 23, 2016

Last updated

Aug 23, 2016By 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

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Landa Absolute Care LLCGroup PAC ID 2961761069, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• L&a Absolute Care LLC

  • Psychiatry Physician
  • Irvington, NJ
  • NPI 1134634462

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Barnabas Health Medical Group, PC

  • Specialist
  • West Orange, NJ
  • NPI 1447206420
  Medicare reassignment NPD
• L&a Absolute Care LLC

  dba Family&Children behavioral program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Irvington, NJ
  • NPI 1841948478
  NPD Authorized official

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1669927224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 RIDGEWAY ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835129",
            "telephone_number": "973-342-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 RIDGEWAY ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835129",
            "telephone_number": "973-342-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJANAKU",
        "first_name": "ADEBOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00662000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agape Christian Foundation Group
• Agcc Psychotherapy Services LLC
• Maryjo Agosta
• Jasleen Ahuja
• Lateef Ajanaku-Makun, APN
• Shiyanbola Ajao
• Juliet Ajayi
• Modupeore Ajibade
• Ajt Behavioral Therapy Inc
• Nneka Gloria Akaeme, PHARM.D.

• Psychiatric/Mental Health Nurse Practitioner in Union, NJ
• Providers in Union, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.