CMS-1500 Box 24J / 33a • NPI
1336667237
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LP2300X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care
Box 32 Service Location & ZIP+4
85 WOODLAND RD, SHORT HILLS, NJ, 07078-2449
✓ 9-Digit EDI 837 ZIP+4 (07078-2449)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1336667237 (GBEMISOLA J ALLI, APN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1336667237)
Medicare Beneficiaries
248
Total Billed Services
699
Distinct CPT/HCPCS Codes
63
Medicare Allowed Total
$49,076.97
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 33 |
80053 | Blood test, comprehensive group of blood chemicals | 18 |
80061 | Blood test, lipids (cholesterol and triglycerides) | 11 |
81001 | Manual urinalysis test with examination using microscope, automated | 20 |
84443 | Blood test, thyroid stimulating hormone (tsh) | 13 |
85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 15 |
87086 | Bacterial colony count, urine | 13 |
87088 | Bacterial urine culture | 14 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 16 | 14 |
| Alprazolam Alprazolam | 27 | 13 |
| Amlodipine Besylate Amlodipine Besylate | 84 | 31 |
| Atenolol Atenolol | 15 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 92 | 37 |
| Azithromycin Azithromycin | 13 | 13 |
| Ciprofloxacin Hcl Ciprofloxacin Hcl | 12 | <11 |
| Donepezil Hcl Donepezil Hcl | 11 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1336667237 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | GBEMISOLA J ALLI, APN |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care NUCC Code: 363LP2300X (Nurse Practitioner, Primary Care) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 85 WOODLAND RD, SHORT HILLS, NJ, 07078-2449 |
| Practice Telephone / Fax | Tel: (973) 379-4496 | Fax: (973) 376-0357 |
| Administrative Mailing Address | 21 EDGEWOOD ROAD, SUMMIT, NJ, 07901 |
| Enumeration & Last Sync | Enumerated: 2017-08-31 | CMS Record Updated: 2021-08-26 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LP2300X)
What Does Taxonomy Code 363LP2300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP2300X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (GBEMISOLA J ALLI, APN)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LP2300X — Nurse Practitioner, Primary CarePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care | State: NJ | License: 26nj00743800 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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