Individual provider Active NPI

Caroline A Oloo, MSN FNP-BC

  • Family Nurse Practitioner
  • Cinnaminson, NJ
National Provider Identifier
1962063651
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00928400 Issued in NJ
Practice address
1554 Jason Dr
Cinnaminson, NJ 08077-1558
Phone
(512) 731-5002
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 26NJ00928400 NJ Primary

Addresses

Primary practice location

1554 Jason Dr
Cinnaminson, NJ 08077-1558

Mailing address

1554 Jason Dr
Cinnaminson, NJ 08077-1558
Phone (512) 731-5002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20190920000445 NJ Practitioner - Nurse Practitioner 4183954969 Reassigns benefits to 2 organizations
I20240123000685 TX Practitioner - Nurse Practitioner 4183954969 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00928400NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Clinical LTC Associates of New Jersey Multi-Specialty CurrentSince Jul 20, 2021 Accepting new patients
Signify Health Medical Associates, PLLC Multi-Specialty CurrentSince Jan 11, 2024 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC Multi-Specialty CurrentSince Apr 13, 2024 Accepting new patients

Locations

11770 US Highway 1
Ste 102E
Palm Beach Gardens, FL 33408
Phone 56181524270

255 E Main St
Moorestown, NJ 08057
Phone (856) 222-0248

600 Pemberton Browns Mills Rd
Pemberton, NJ 08068
Phone (609) 726-7000

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

780 New Brunswick Rd
Somerset, NJ 08873
Phone (732) 653-3000

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1962063651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 JASON DR",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080771558",
            "telephone_number": "512-731-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 JASON DR",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080771558",
            "telephone_number": "512-731-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOO",
        "first_name": "CAROLINE",
        "middle_name": "A",
        "credential": "MSN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00928400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

Verify at the official NPI Registry.