KCS Medical Consulting LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

KCS MEDICAL CONSULTING LLC

Practice address

3211 Willits Rd
Philadelphia, PA 19114-3817

Phone

(215) 834-3656

NPI assigned

Nov 19, 2021

Organization subpart

No

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

Authorized official

Name

Oluwatobi E Menawonu, CRNPNPI 1891142774

Title

Managing Member

Phone

(215) 834-3656

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oluwatobi Emmanuel Menawonu, NP

  • Family Nurse Practitioner
  • Philadelphia, PA
  • NPI 1891142774

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1063179554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W COHAWKIN RD STE C",
            "city": "CLARKSBORO",
            "state": "NJ",
            "postal_code": "080201145",
            "telephone_number": "856-423-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 WILLITS RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191143817",
            "telephone_number": "215-834-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCS MEDICAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "MENAWONU",
        "authorized_official_first_name": "OLUWATOBI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "215-834-3656",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "emrtbd",
            "affiliation": "N",
            "address_1": "3211 Willits Rd",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191143817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• KB Chiropractic and Rehabilitation
• KC Home Care Systems
• KC Homecare LLC
• Wumesh KC, M.D.
• Kcee Horne
• KCS Medical Consulting LLC
• Efrat Rosenzweig Kean, M.D.
• Kristin Elizabeth Kean, M.D.
• Erin Keane, PA-C
• Laura Keane

• Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.