Healthcare Provider Details

I. General information

NPI: 1083546121
Provider Name (Legal Business Name): JIMOH A ARO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 CORLIES AVE
NEPTUNE NJ
07753-5197
US

IV. Provider business mailing address

213 CLINTON AVE
EATONTOWN NJ
07724-1746
US

V. Phone/Fax

Practice location:
  • Phone: 732-775-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number26NJ15552200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: