Individual ProviderItohan Cindy LocklearNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address105 Joyce Kilmer Ave, New Brunswick, NJ 08901-2915(732) 828-6002(973) 953-3311PECOS EnrollmentBased on the most recent information from CMS, provider Itohan Cindy Locklear is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1891678892Provider TypeIndividualFull NameLocklear, Itohan CindyCredentialAPNGenderFemaleSole ProprietorYesEnumeration Date7/28/2025Last Updated7/28/2025Contact InformationPractice LocationPractice Address105 Joyce Kilmer Ave, New Brunswick, NJ 08901-2915Phone(732) 828-6002FaxUnlisted FaxMailing LocationMailing Address56 Avenue H, Monroe Township, NJ 08831-2152Phone(973) 953-3311FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ15367000New Jersey