ABIMBOLA VIVIAN OLANREWAJU (NPI# 1669956579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669956579 |
| Entity Type | Individual |
| Full Name | ABIMBOLA VIVIAN OLANREWAJU |
| Credential | FNP-C |
| Practice Address |
205 S Orange Ave Newark NJ 07103-2785 |
| Mailing Address |
2710 Verona Ave Linden NJ 07036-5121 |
| Practice Telephone | 9739721077 |
| Mailing Telephone | 9733992848 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00834700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 Lyons Ave, Newark, NJ 071122027 | 9739267000 |
| Street Address |
205 S ORANGE AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811935307 | Anupama Nehra | Internal Medicine | 205 S Orange Ave, Newark, NJ 07103-2785 | 2006-06-04 |
| 1396108460 | Andrew Carbone | Student in an Organized Health Care Education/Training Program | 205 S Orange Ave, Newark, NJ 07103-2785 | 2016-04-05 |
| 1447621909 | Miriam Enock | Physician Assistant | 205 S Orange Ave, Suite A-1020, Newark, NJ 07103-2785 | 2015-10-09 |
| 1912293283 | John William Neal Vi | Orthopaedic Surgery | 205 S Orange Ave, Newark, NJ 07103-2785 | 2011-06-24 |
| 1235454984 | Michael Mark Vosbikian | Orthopaedic Surgery | 205 S Orange Ave, Newark, NJ 07103-2785 | 2010-04-06 |
| 1235462128 | Nandini Ignatius | Internal Medicine | 205 S Orange Ave, Suite A1115, Newark, NJ 07103-2785 | 2009-09-10 |
| 1558503797 | University Physician Associates of New Jersey, Inc. | Radiology | 205 S Orange Ave, Newark, NJ 07103-2785 | 2009-04-02 |
| 1255588109 | Samhita Chakraborty | Internal Medicine | 205 S Orange Ave, Suite A 1115, Cancer Center, Newark, NJ 07103-2785 | 2008-08-22 |
| 1306877485 | Kathleen S. Beebe | Orthopaedic Surgery | 205 S Orange Ave, C1200, Newark, NJ 07103-2785 | 2006-07-06 |
| 1578502779 | Mark William Henry | Specialist/Technologist | 205 S Orange Ave, C-level #1200, Newark, NJ 07103-2785 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647892 | Katlyn Brewington | Nurse Practitioner | 1233b Churchmans Rd, Newark, DE 19713-2149 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1508464397 | Abimbola Otufale | Nurse Practitioner | 252b Camden St, Newark, NJ 07103-2434 | 2020-10-13 |
| 1033755608 | Christine Nophut | Nurse Practitioner | 17 Polly Drummond Shpg Ctr, Newark, DE 19711-4820 | 2019-11-19 |
| 1215578091 | Lucy Ogechi Efobi | Nurse Practitioner | 194 Clinton Ave Lowr Level, Newark, NJ 07108-2809 | 2019-10-03 |
| 1518518323 | Jasmine Barksdale | Nurse Practitioner | 4110 Ogletown Stanton Rd, Newark, DE 19713-4169 | 2019-09-23 |
| 1467013136 | Getrude Tate Nguatem | Nurse Practitioner | Churchman Vlg, Newark, DE 19713-2068 | 2019-06-24 |
| 1285298679 | Olufolake Remi Adepoju | Nurse Practitioner | 258 Chapman Rd, Newark, DE 19702-5445 | 2019-05-01 |
| 1285100420 | Vida Araba Paintsil | Nurse Practitioner | University Hospital- Nursing Office, 90 Bergen Street, Newark, NJ 07102-0710 | 2018-10-15 |
| 1992291280 | Palak Praful Desai | Nurse Practitioner | 1 Chestnut Hill Plz, Newark, DE 19713-2701 | 2018-07-10 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.