MR. OLANREWAJU FAMAKINWA APN
NPI 1447712781
Nurse Practitioner - Gerontology in Lakewood, NJ

Q: What is Olanrewaju Famakinwa's NPI number?

The NPI number for Olanrewaju Famakinwa is 1447712781. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Q: What is Olanrewaju Famakinwa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment

685 RIVER AVE, LAKEWOOD, NJ 08701(732) 486-7373(732) 282-7300 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2024, Apr 4, 2019 (2 updates tracked since 2019).

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About Mr. Olanrewaju Famakinwa Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. OLANREWAJU FAMAKINWA APN (NPI 1447712781) is an individual gerontology provider in Lakewood, New Jersey, licensed in New Jersey (26NJ00888100) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1447712781

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameMR. OLANREWAJU FAMAKINWACredential: APN

Location Address685 RIVER AVELakewood, NJ 08701-5288

Mailing Address1101 Warren StRoselle, NJ 07203-2735 · (862) 368-5399

Phone(732) 486-7373

Fax(732) 282-7300

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateApril 4, 2019

Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration

NPPES CertifiedNovember 20, 2024

✔ NPI 1447712781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NJ · 26NJ00888100

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 26NJ00888100 (NJ)

685 RIVER AVE, Lakewood, NJ 08701

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Olanrewaju Famakinwa Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779817168

PECOS Enrollment IDI20190618002385

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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