Active NPI
Masolanu Lawal, APN
- Family Nurse Practitioner
- North Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00587400
- Practice address
- 1512 Azalea Dr
North Brunswick, NJ 08902-5532 - Phone
- (862) 368-4305
- NPI assigned
- Jul 20, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00587400 | NJ | Primary |
Addresses
Primary practice location
1512 Azalea Dr
North Brunswick, NJ 08902-5532
Mailing address
1512 Azalea Dr
North Brunswick, NJ 08902-5532
Phone (862) 368-4305
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
277 George St
New Brunswick, NJ 08901-1476
Phone (732) 235-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00587400 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers RWJ Eric B. Chandler Health Center | Current | Accepting new patients | |
| Visiting Nurse Association of Central Jersey, Inc. | Current | Accepting new patients | |
| Visiting Nurse Association of Central Jersey, Inc. | Current | Accepting new patients | |
| Rutgers RWJ Eric B. Chandler Health Center | Current | Accepting new patients |
Locations
277 George St
New Brunswick, NJ 08901
Phone (732) 235-6700
123 Church St
New Brunswick, NJ 08901
Phone (732) 235-2052
3600 State Route 66
Fl 4
Tinton Falls, NJ 07753
Phone (732) 241-4194
Interoperability endpoints
- https://api.platform.athenahealth.com/24297/brand/1/csg/1/fhir/r4
- mlawal17090@epicdirect.rwjbh.org
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.
-
- Federally Qualified Health Center (FQHC)
- New Brunswick, NJ
- NPI 1851330815
-
- Geriatric Medicine (Family Medicine) Physician
- Holmdel, NJ
- NPI 1336195791
-
- Federally Qualified Health Center (FQHC)
- New Brunswick, NJ
- NPI 1538416342
-
- Home Health Agency
- Holmdel, NJ
- NPI 1144275892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1801270889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 AZALEA DR",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089025532",
"telephone_number": "862-368-4305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 AZALEA DR",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089025532",
"telephone_number": "862-368-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWAL",
"first_name": "MASOLANU",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00587400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.