Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthonia Ajimavo, NP

Individual provider Adult Health Nurse Practitioner · NPI 1114309283

Anthonia Ajimavo, NP is a Nurse Practitioner in Bronx, New York. Qualified in 2015, 11 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2604 3rd Ave
Bronx, NY 10454-1199
Phone: (718) 292-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F405705 (NY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence F307288-1 (NY)

Record details

NPI number1114309283
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 24, 2015
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address2604 3rd Ave, Bronx, NY 10454-1199

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Bronx