MR. OLANREWAJU FAMAKINWA (NPI# 1447712781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447712781 |
| Entity Type | Individual |
| Full Name | MR. OLANREWAJU FAMAKINWA |
| Credential | APN |
| Practice Address |
685 River Ave Lakewood NJ 08701-5288 |
| Mailing Address |
1101 Warren St Roselle NJ 07203-2735 |
| Practice Telephone | 7324867373 |
| Practice Fax Number | 7322827300 |
| Mailing Telephone | 8623685399 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00888100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
685 RIVER AVE |
| City | LAKEWOOD |
| State | NJ |
| Zip Code | 08701-5288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851341069 | Tender Touch Health Care Services | Physical Therapist | 685 River Ave, Lakewood, NJ 08701-5228 | 2006-05-10 |
| 1902405160 | Ashli Riedel | Nurse Practitioner | 685 River Ave, Lakewood, NJ 08701-5288 | 2020-10-20 |
| 1124632195 | Samuel Igbafe | Behavior Technician | 685 River Ave, Lakewood, NJ 08701-5288 | 2020-09-07 |
| 1356967889 | Bridget A Breen | Occupational Therapist | 685 River Ave, Lakewood, NJ 08701-5288 | 2020-06-20 |
| 1154942498 | Chloe Gabrielle Trave | Speech-Language Pathologist | 685 River Ave, Lakewood, NJ 08701-5288 | 2020-04-28 |
| 1841822343 | Michelle Lynn Juckett | Nurse Practitioner | 685 River Ave, Lakewood, NJ 08701-5288 | 2020-02-12 |
| 1225660913 | Winand J Thomas Jr. | Behavior Technician | 685 River Ave, Lakewood, NJ 08701-5288 | 2020-02-10 |
| 1245861905 | Gabrielle Francisca Mazza | Occupational Therapist | 685 River Ave, Lakewood, NJ 08701-5288 | 2020-01-31 |
| 1912537812 | Venitia Angella Harrison | Nurse Practitioner | 685 River Ave, Lakewood, NJ 08701-5288 | 2020-01-19 |
| 1710526355 | Michelle Lynn Lapenta | Speech-Language Pathologist | 685 River Ave, Lakewood, NJ 08701-5288 | 2019-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
| 1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
| 1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
| 1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
| 1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
| 1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
| 1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
| 1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
| Find all providers in zip 08701 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235522483 | Jennifer Miranda Vicente | Nurse Practitioner | 3300 E South St Ste 205, Lakewood, CA 90805-4587 | 2015-03-12 |
| 1477997666 | Melanie Rose Vernacchia | Nurse Practitioner | 600 River Ave Fl 3, Lakewood, NJ 08701-5237 | 2013-04-18 |
| 1245576834 | Regina B Glisson | Nurse Practitioner | 101 Second St, Lakewood, NJ 08701 | 2012-12-31 |
| 1982818803 | Linda J Leblanc | Nurse Practitioner | 10814 Deepwood Dr Sw, Lakewood, WA 98498 | 2007-05-09 |
| 1982704441 | Nancy Irene Brooker | Nurse Practitioner | 11700 W 2nd Pl Ste 450, Lakewood, CO 80228-1719 | 2006-09-25 |
| 1285144758 | Ann Pereira | Nurse Practitioner | 1526 Cole Blvd Ste 300, Lakewood, CO 80401-3410 | 2017-10-10 |
| 1235648890 | Natalia C Spencer | Nurse Practitioner | 1526 Cole Blvd Ste 300, Lakewood, CO 80401-3410 | 2017-09-27 |
| 1679096630 | Amber Brooke Hyland | Nurse Practitioner | 13900 Detroit Ave, Lakewood, OH 44107-4624 | 2017-07-21 |
| 1518496991 | Frank Ross Arnp LLC | Nurse Practitioner | 4901 108th St Sw, Lakewood, WA 98499-3724 | 2017-06-08 |
| 1235672916 | Marilou Cruz | Nurse Practitioner | 685 River Ave, Suite 3, Lakewood, NJ 08701-5288 | 2016-11-29 |
| Find all providers in LAKEWOOD | ||||
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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.