Anthonia Ajimavo, NP - Medicare Nurse Practitioner in Bronx, NY

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Anthonia Ajimavo, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bronx, New York. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is 2604 3rd Ave, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 292-0100.

Anthonia Ajimavo is licensed to practice in New York (license number F405705) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114309283.

Contact Information

Anthonia Ajimavo, NP
2604 3rd Ave,
Bronx, NY 10454-1199
(718) 292-0100
Not Available

Map and Direction




Provider's Profile

Full NameAnthonia Ajimavo
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location2604 3rd Ave, Bronx, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Anthonia Ajimavo graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1114309283
  • Provider Enumeration Date: 06/24/2015
  • Last Update Date: 08/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0143536045
  • Enrollment ID: I20150908001225

Medical Identifiers

Medical identifiers for Anthonia Ajimavo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114309283NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F307288-1 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health F405705 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwell Hospital Glen CoveGlen cove, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Medical Pc33757015685120

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Anthonia Ajimavo allows following entities to bill medicare on her behalf.
Entity NameRjzm Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982627113
PECOS PAC ID: 4486567450
Enrollment ID: O20031106000683
Entity NameParkway Pain Care & Rehabilitation Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619072113
PECOS PAC ID: 2466557939
Enrollment ID: O20070427000401
Entity NameHouse Call Medical Services Of New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851345946
PECOS PAC ID: 2264517754
Enrollment ID: O20080307000427
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Entity NameEssen Medical Urgicare, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841607298
PECOS PAC ID: 4385960897
Enrollment ID: O20150227000903
Entity NameBronx Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356726087
PECOS PAC ID: 9739496100
Enrollment ID: O20150917000004
Entity NameShakespeare Operating Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720634538
PECOS PAC ID: 0840604310
Enrollment ID: O20210123000014

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anthonia Ajimavo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Anthonia Ajimavo, NP
2604 3rd Ave,
Bronx, NY 10454-1199

Ph: (718) 292-0100		Anthonia Ajimavo, NP
2604 3rd Ave,
Bronx, NY 10454-1199

Ph: (718) 292-0100

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.