Individual provider Active NPI

Masolanu Lawal, APN

  • Family Nurse Practitioner
  • North Brunswick, NJ
National Provider Identifier
1801270889
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00587400 Issued in NJ
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

Updated by the provider on Sep 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151102001095 NJ Practitioner - Nurse Practitioner 0143530246 Reassigns benefits to 2 organizations

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
Rutgers RWJ Eric B. Chandler Health CenterGroup PAC ID 0042111601, 27 clinicians

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

LicenseStateTypeSpecialty
26NJ00587400NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers RWJ Eric B. Chandler Health Center CurrentSince Jan 7, 2019 Accepting new patients
Visiting Nurse Association of Central Jersey, Inc. CurrentSince Jul 31, 2017 Accepting new patients
Visiting Nurse Association of Central Jersey, Inc. CurrentSince Jul 31, 2017 Accepting new patients
Rutgers RWJ Eric B. Chandler Health Center CurrentSince Jan 7, 2019 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

  • FHIR API: https://api.platform.athenahealth.com/24297/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.