Individual provider Active NPI

Lovan Vanclin Oloko-Nelson, APN

  • Adult Health Nurse Practitioner
  • Clifton, NJ
National Provider Identifier
1750926689
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00968800 Issued in NJ
Practice address
1300 Main Ave Ste 1B
Clifton, NJ 07011-2266
Phone
(973) 689-6700
Fax
(973) 689-6582
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00968800 NJ Primary

Addresses

Primary practice location

1300 Main Ave Ste 1B
Clifton, NJ 07011-2266

Mailing address

281 Paterson Ave
Paterson, NJ 07502-1706
Phone (973) 202-9466

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
I20200220000709 NJ Practitioner - Nurse Practitioner 3577990167 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Practice addresses (Care Compare)

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-6331

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical Group PC CurrentSince Nov 2, 2021 Accepting new patients
Carepoint Gastroenterology Center PC CurrentSince Feb 1, 2020 Accepting new patients
Essex Primary Care PC CurrentSince Mar 1, 2023 Accepting new patients
St. Joseph's Healthcare, Inc. CurrentSince Jan 25, 2021 Accepting new patients

Locations

526 Bloomfield Ave
Ste 103
Caldwell, NJ 07006
Phone (973) 226-0559

315 E Lindsley Rd
Cedar Grove, NJ 07009
Phone (973) 754-4800

1300 Main Ave
Ste 1B
Clifton, NJ 07011
Phone (973) 689-6700

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

220 Hamburg Tpke
Ste 203
Wayne, NJ 07470

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1750926689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 PATERSON AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075021706",
            "telephone_number": "973-202-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MAIN AVE STE 1B",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112266",
            "telephone_number": "973-689-6700",
            "fax_number": "973-689-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOKO-NELSON",
        "first_name": "LOVAN",
        "middle_name": "VANCLIN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00968800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.