Bolakale Ikwu, PMHNP-BC,MSN,CNL,RN | |
936 Stuyvesant Ave, Union, NJ 07083-6991 | |
(973) 449-9885 | |
Not Available |
Full Name | Bolakale Ikwu |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 936 Stuyvesant Ave, Union, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154011120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01481700 (New Jersey) | Primary |
Entity Name | Amity Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275083305 PECOS PAC ID: 6103161278 Enrollment ID: O20181218000978 |
Mailing Address | Practice Location Address |
---|---|
Bolakale Ikwu, PMHNP-BC,MSN,CNL,RN 1572 Ridgeway St, Union, NJ 07083-5130 Ph: (973) 449-9885 | Bolakale Ikwu, PMHNP-BC,MSN,CNL,RN 936 Stuyvesant Ave, Union, NJ 07083-6991 Ph: (973) 449-9885 |
Ms. Vody Elaine Vincent, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2742 Alice Ter, Union, NJ 07083 Phone: 908-708-3618 Fax: 862-205-2477 | |
Dr. Daniel D Okoro, DNP, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 North Ave, Union, NJ 07083 Phone: 908-355-5500 Fax: 908-355-5502 | |
Lateef Ajanaku-makun, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1577 Ridgeway St, Union, NJ 07083 Phone: 973-342-1160 | |
Rosalyn Abraham, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 856 Mitchell Ave, Union, NJ 07083 Phone: 908-964-4357 | |
Janelle Rebustes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 871 Garden St, Union, NJ 07083 Phone: 973-489-0196 | |
Jose Polanco, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Jensen Ln, Union, NJ 07083 Phone: 973-725-4078 | |
Mrs. Delia Yakubov, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Galloping Hill Rd Ste 201, Union, NJ 07083 Phone: 908-522-6400 Fax: 908-964-2169 |