Individual provider Active NPI

Kenice Awoyinfa, CPNP-C, APN, RN

  • Pediatric Nurse Practitioner
  • Hamilton, NJ
National Provider Identifier
1083211171
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ01398000 Issued in NJ
Practice address
1301 Whitehorse Mercerville Rd
Hamilton, NJ 08619-3826
Phone
(609) 585-2200
NPI assigned
Oct 2, 2020
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ01398000 NJ Primary
Registered Nurse 163W00000X 802427 NY

Addresses

Primary practice location

1301 Whitehorse Mercerville Rd
Hamilton, NJ 08619-3826

Mailing address

71 Harrington Cir
Willingboro, NJ 08046-1823
Phone (347) 703-7814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
802427NYMDRegistered Nurse
26NJ01398000NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children First Medical Care, PA Past Accepting new patients
Ivy Pediatrics, PA Past Accepting new patients

Organizations & group practices 2

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": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1083211171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HARRINGTON CIR",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461823",
            "telephone_number": "347-703-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WHITEHORSE MERCERVILLE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193826",
            "telephone_number": "609-585-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWOYINFA",
        "first_name": "KENICE",
        "credential": "CPNP-C, APN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ01398000",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "802427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.