Grace Oluwatoyin Efunbajo, DNP-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R200931 Issued in MD

Practice address

5711 Sarvis Ave Ste 302
Riverdale, MD 20737-1394

Phone

(301) 927-7800

NPI assigned

Jul 2, 2020

Last updated

May 2, 2022By 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 DC, MD2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arundel Medical Group IncGroup PAC ID 1658414909, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: grace.efunbajo.1@26741.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.

• Arundel Medical Group Inc

  • Family Medicine Physician
  • Glen Burnie, MD
  • NPI 1366435596

  Single Specialty

  Medicare reassignment Care Compare group NPD
• J Richard Lilly MD Shaaron R Towns MD and Associates PC

  • General Practice Physician
  • Hyattsville, MD
  • NPI 1336135821

  DC, Single Specialty

  Medicare reassignment NPD
• Luminis Health Community Clinics, LLC

  • Family Medicine Physician
  • Annapolis, MD
  • NPI 1073950671

  Single Specialty

  Medicare reassignment NPD
• Luminis Health Community Clinics, LLC

  dba Luminis Health Community Clinics

  • Family Medicine Physician
  • Annapolis, MD
  • NPI 1295542595
  NPD

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1942827258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 SARVIS AVE STE 302",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371394",
            "telephone_number": "301-927-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 SARVIS AVE STE 302",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371394",
            "telephone_number": "301-927-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 Poinsettia Pl",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210606353",
            "country_code": "US",
            "telephone_number": "240-435-8396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EFUNBAJO",
        "first_name": "GRACE",
        "middle_name": "OLUWATOYIN",
        "credential": "DNP-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R200931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edge Family Medicine LLC
• Edge Medical Care PC
• Vernicia A Edmond, CRNP
• Eduardo Armenta MD
• Eduardo Armenta, M.D.
• Kelechi Ego-Osuala
• Beverely Chiazo Ejimakor
• Chelsea A. Ejimakor
• Eko Elad
• Diana Elias Gonzalez

• Family Nurse Practitioner in Riverdale, MD
• Providers in Riverdale, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.

Verify at the official NPI Registry.