ABIMBOLA VIVIAN OLANREWAJU FNP-C
NPI 1669956579
Nurse Practitioner - Family in Newark, NJ

Active since September 18, 2018PECOS EnrolledAccepts Medicare Assignment
205 S ORANGE AVE, NEWARK, NJ 07103(973) 972-1077 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abimbola Vivian Olanrewaju Fnp-c NPPES

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

ABIMBOLA VIVIAN OLANREWAJU FNP-C (NPI 1669956579) is an individual family provider in Newark, New Jersey, licensed in New Jersey (26NJ00834700) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with The University Hospital, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1669956579
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameABIMBOLA VIVIAN OLANREWAJUCredential: FNP-C
Location Address205 S ORANGE AVENewark, NJ 07103-2785
Mailing Address2710 Verona AveLinden, NJ 07036-5121 · (973) 399-2848
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 18, 2018
NPI 1669956579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NJ · 26NJ00834700
205 S ORANGE AVE, Newark, NJ 07103

Secondary Practice Location 1

Location 1201 Lyons AveNewark, NJ 07112-2027 · Phone (973) 926-7000

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

Abimbola Vivian Olanrewaju Fnp-c 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 ID7113279712
PECOS Enrollment IDI20200626000195
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 15

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

Social Worker (Clinical)
205 S ORANGE AVE
NEWARK, NJ 07103
Orthopaedic Surgery (Hand Surgery)
205 S ORANGE AVE
NEWARK, NJ 07103
Internal Medicine (Hematology & Oncology)
205 S ORANGE AVE, SUITE A1115
NEWARK, NJ 07103
Internal Medicine (Hematology & Oncology)
205 S ORANGE AVE, SUITE A 1115, CANCER CENTER
NEWARK, NJ 07103
Orthopaedic Surgery
205 S ORANGE AVE, C1200
NEWARK, NJ 07103
Internal Medicine (Hematology & Oncology)
205 S ORANGE AVE
NEWARK, NJ 07103
Physician Assistant
205 S ORANGE AVE
NEWARK, NJ 07103
Physician Assistant
205 S ORANGE AVE, SUITE A-1020
NEWARK, NJ 07103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abimbola Olanrewaju's NPI number?

The NPI number for Abimbola Olanrewaju is 1669956579. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Abimbola Olanrewaju located?

Abimbola Olanrewaju practices at 205 S Orange Ave, Newark, NJ 07103. The listed phone number is (973) 972-1077.

What is Abimbola Olanrewaju's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Abimbola Olanrewaju enrolled in Medicare?

Yes. Abimbola Olanrewaju is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Abimbola Olanrewaju affiliated with any hospitals?

According to CMS data, Abimbola Olanrewaju is affiliated with The University Hospital.

When was this NPI record last updated?

The NPPES record for Abimbola Olanrewaju was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.