Individual provider Active NPI

Kubura Onilogbo, NP

  • Family Nurse Practitioner
  • West Deptford, NJ
National Provider Identifier
1013427384
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00741700 Issued in NJ
Practice address
550 Jessup Rd
West Deptford, NJ 08066-1921
Phone
(856) 218-4200
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00741700 NJ Primary
Nurse Practitioner 363L00000X 26NJ00741700 NJ

Addresses

Primary practice location

550 Jessup Rd
West Deptford, NJ 08066-1921

Mailing address

50 S B B King Blvd # 100
Memphis, TN 38103-2626
Phone (901) 436-1381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171110001782 NJ Practitioner - Nurse Practitioner 1153687942 Reassigns benefits to 2 organizations
I20231214000577 DE Practitioner - Nurse Practitioner 1153687942 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00741700NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Hospice Services LLC CurrentSince Jun 15, 2020 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Nov 6, 2023 Accepting new patients
HCR Manorcare Medical Services of Florida LLC Nurse Practitioner CurrentSince Oct 23, 2017 Accepting new patients
Heartland Hospice Services, LLC CurrentSince Jun 15, 2020 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC Nurse Practitioner CurrentSince Aug 10, 2023 Accepting new patients
Heartland Hospice Services LLC Current Accepting new patients

Locations

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

1412 Marlton Pike E
Cherry Hill, NJ 08034
Phone (856) 428-1600

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

L2540
Columbus, OH 43260

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: ms_konilogb@landmarkhealth-direct.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1013427384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S B B KING BLVD # 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032626",
            "telephone_number": "901-436-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 JESSUP RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080661921",
            "telephone_number": "856-218-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONILOGBO",
        "first_name": "KUBURA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00741700",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00741700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

Verify at the official NPI Registry.