| L&a Absolute Care Llc | |
|
50 Union Ave Ste 701 Irvington NJ 07111-3292 | |
| (973) 849-6030 | |
| Not Available |
| Full Name | L&a Absolute Care Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 50 Union Ave Ste 701, Irvington, New Jersey |
| Authorized Official Name and Position | Adebola S Ajanaku (APN) |
| Authorized Official Contact | 9733425457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L&a Absolute Care Llc 1577 Ridgeway St Union NJ 07083-5129 Ph: (973) 342-5457 | L&a Absolute Care Llc 50 Union Ave Ste 701 Irvington NJ 07111-3292 Ph: (973) 849-6030 |
| NPI Number | 1134634462 |
|---|---|
| Provider Enumeration Date | 12/08/2017 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Medicare PECOS PAC ID | 2961761069 |
|---|---|
| Medicare Enrollment ID | O20180118000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134634462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ariaceliz Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881991875 PECOS PAC ID: 7810174281 Enrollment ID: I20110613000183 |
| Provider Name | Lateef Ajanaku Makun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033664685 PECOS PAC ID: 9830474550 Enrollment ID: I20170321000713 |
| Provider Name | Adebola S Ajanaku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669927224 PECOS PAC ID: 4587941760 Enrollment ID: I20170426002261 |
| Provider Name | Dolani Nimata Ajanaku |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811457898 PECOS PAC ID: 3971959404 Enrollment ID: I20231019002303 |
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