Individual provider Active NPI

Temilola Adedayo Sopeju, M.D

  • Pediatrics Physician
  • Hamilton, NJ
National Provider Identifier
1033406673
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA09529300 Issued in NJ
Practice address
641 US Highway 130
Hamilton, NJ 08691-2101
Phone
(609) 568-9383
NPI assigned
Jul 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA09529300 NJ Primary

Addresses

Primary practice location

641 US Highway 130
Hamilton, NJ 08691-2101

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263

Other practice location 1

101 2nd St
Lakewood, NJ 08701-3324
Phone (732) 363-6655 ext. 8155

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NJExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141002001401 NJ Practitioner - Pediatric Medicine 3971723578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

641 US Hwy 130
Hamilton, NJ 08691-2101
Phone (609) 568-9383

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First New Jersey Physicians Group LLC CurrentSince Jan 2, 2024 Accepting new patients
Patient First Maryland Physician's Group PC CurrentSince Jan 13, 2018 Accepting new patients
Ocean Health Initiatives Inc Pediatrics Current Accepting new patients
Ocean Health Initiatives,Inc CurrentSince Oct 20, 2014 Accepting new patients
Patient First New Jersey Physicians Group LLC CurrentSince Jan 2, 2024 Accepting new patients
Ocean Health Initiatives, Inc CurrentSince Oct 20, 2014 Accepting new patients
Patients First Maryland Physicians Group P C CurrentSince Jan 13, 2018 Accepting new patients

Locations

641 US Highway 130
Hamilton, NJ 08691
Phone (609) 245-2970

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

630 Mantua Pike
Woodbury, NJ 08096
Phone (856) 812-2220

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: njexchange@patientfirstclinics.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1309737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1033406673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 US HIGHWAY 130",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086912101",
            "telephone_number": "609-568-9383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 2nd St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087013324",
            "country_code": "US",
            "telephone_number": "732-363-6655 x8155",
            "fax_number": "732-901-0557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOPEJU",
        "first_name": "TEMILOLA",
        "middle_name": "ADEDAYO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-04",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09529300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NJExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "641 US Highway 130",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086912101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.