Individual provider Active NPI

Ololade F Ekwere, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cranford, NJ
National Provider Identifier
1871929885
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00462900 Issued in NJ
Practice address
11 Commerce Dr
Cranford, NJ 07016-3501
Phone
(908) 386-5517
NPI assigned
Sep 23, 2013
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00462900 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00462900 NJ Primary

Addresses

Primary practice location

11 Commerce Dr
Cranford, NJ 07016-3501

Mailing address

653 W Edgar Rd # 1162
Linden, NJ 07036-6574
Phone (848) 289-1892

Other practice location 1

653 W Edgar Rd # 1162
Linden, NJ 07036-6574
Phone (848) 289-1892

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
I20150519000749 NJ Practitioner - Nurse Practitioner 0345560132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 S Archer Dr
Belton, TX 76513-6302

20 Westbrook CT
Roselle, NJ 07203-2470

3134 Maverick Dr
Heath, TX 75126-1910

5751 Uptain Rd
Suite 210
Chattanooga, TN 37411-4077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00462900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightmindsmd LLC CurrentSince May 1, 2022 Accepting new patients

Locations

11 Commerce Dr
Cranford, NJ 07016
Phone (908) 336-1187

11 Commerce Dr
Lbby
Cranford, NJ 07016
Phone (908) 336-1187

1044 US Highway 22
Ste 1
Mountainside, NJ 07092
Phone (908) 386-5517

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1871929885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 W EDGAR RD # 1162",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366574",
            "telephone_number": "848-289-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COMMERCE DR",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163501",
            "telephone_number": "908-386-5517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 W Edgar Rd # 1162",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "NJ",
            "postal_code": "070366574",
            "country_code": "US",
            "telephone_number": "848-289-1892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKWERE",
        "first_name": "OLOLADE",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00462900",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00462900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

Verify at the official NPI Registry.