Olufunmilayo A Aiyegbo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

332171-1 Issued in NY

Practice address

150 Walker Rd
West Orange, NJ 07052-3813

Phone

(973) 200-8370

NPI assigned

Nov 24, 2006

Last updated

Apr 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olufunmilayo.aiyegbo.1@14883.direct.athenahealth.com

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.

• Barnabas Health Medical Group PC

  • Specialist
  • Elizabeth, NJ
  • NPI 1841557246
  Medicare reassignment NPD
• Karen Ann Quinlan Memorial Foundation

  dba Quinlan Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Newton, NJ
  • NPI 1699402123
  Medicare reassignment NPD
• Ardent Home Healthcare

  • Home Health Agency
  • West Orange, NJ
  • NPI 1750649406
  NPD (past) Authorized official
• Barnabas Health Medical Group PC

  • Durable Medical Equipment & Medical Supplies
  • Hackensack, NJ
  • NPI 1316772668
  NPD

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1871668772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WALKER RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523813",
            "telephone_number": "908-510-1987",
            "fax_number": "973-200-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WALKER RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523813",
            "telephone_number": "973-200-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIYEGBO",
        "first_name": "OLUFUNMILAYO",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "332171-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affiliates in Gastroenterology PA
• Khristine J Aguinaldo, CPNP-PC
• Cynthia Opuni Agyei
• Rami Ahmed
• Shereen Ahmed, PHARMD
• Omobola Akinboade, PMHNP-BC
• Jessica Akunna, M.D.
• Ayoola O Aladesanmi, PHARM D
• Alan B Schlussel OD LLC (Professional Eyecare of West Orange for NJ)
• Alan Langsner, MD PC

• Family Nurse Practitioner in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.