NPIMap

Organization Active NPI

Lenox Medical Group

  • Family Nurse Practitioner
  • Rahway, NJ
National Provider Identifier
1831605435
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00468500 Issued in NJ
Legal business name
LENOX MEDICAL GROUP
Practice address
1600 Saint Georges Ave Ste 111
Rahway, NJ 07065-2713
Phone
(732) 686-6030
Fax
(732) 453-6171
NPI assigned
Dec 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Authorized official

Name
Dr. Bola Fadipe, DNPNPI 1477981496
Title
Owner
Phone
(732) 686-6030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 26NJ00468500 NJ Primary

Addresses

Primary practice location

1600 Saint Georges Ave Ste 111
Rahway, NJ 07065-2713

Mailing address

1600 Saint Georges Ave Ste 111
Rahway, NJ 07065-2713

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1831605435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SAINT GEORGES AVE STE 111",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAINT GEORGES AVE STE 111",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652713",
            "telephone_number": "732-686-6030",
            "fax_number": "732-453-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOX MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "FADIPE",
        "authorized_official_first_name": "BOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-686-6030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00468500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.