Individual provider Active NPI

Kafilat Adewunmi, D.O/ MBA

  • Family Medicine Physician
  • Union, NJ
National Provider Identifier
1134326010
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB08337900 Issued in NJ
Practice address
2333 Morris Ave Ste A117
Union, NJ 07083
Phone
(908) 481-9600
Fax
(908) 687-1900
NPI assigned
Jul 2, 2007
Last updated
Aug 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB08337900 NJ Primary

Addresses

Primary practice location

2333 Morris Ave Ste A117
Union, NJ 07083

Mailing address

2333 Morris Ave Ste A117
Union, NJ 07083-5737
Phone (908) 481-9600

Other practice location 1

275 Hobart St
Perth Amboy, NJ 08861-3396
Phone (732) 376-9333

Other practice location 2

20 N Woodbury Turnersville Rd
Blackwood, NJ 08012-2888
Phone (856) 374-6856

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
I20081023000151 NJ Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 5991863789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2333 Morris Ave
Suite A117
Union, NJ 07083-5737
Phone (908) 481-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
25MB08337900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vama Medical Health Center Family Medicine CurrentSince Apr 1, 2018 Accepting new patients
Central Jersey Medical Center, Inc. CurrentSince Jan 10, 2011 Accepting new patients
Rowansom Dept of Pediatrics Past Accepting new patients
Total Support Medical Group Inc. PastSince Feb 25, 2026 Accepting new patients
Camden County Health Services Center PastSince Jun 30, 2008 Accepting new patients

Locations

275 Hobart St
Perth Amboy, NJ 08861
Phone (732) 376-6635

2333 Morris Ave
Ste A117
Union, NJ 07083
Phone (908) 481-9600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHIFCD/Endpoint/JHIFCD

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, 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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1134326010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE STE A117",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835737",
            "telephone_number": "908-481-9600",
            "fax_number": "908-687-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE STE A117",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-481-9600",
            "fax_number": "908-687-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Hobart St",
            "address_purpose": "LOCATION",
            "city": "Perth Amboy",
            "state": "NJ",
            "postal_code": "088613396",
            "country_code": "US",
            "telephone_number": "732-376-9333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 N Woodbury Turnersville Rd",
            "address_purpose": "LOCATION",
            "city": "Blackwood",
            "state": "NJ",
            "postal_code": "080122888",
            "country_code": "US",
            "telephone_number": "856-374-6856",
            "fax_number": "856-374-6896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEWUNMI",
        "first_name": "KAFILAT",
        "name_prefix": "Dr.",
        "credential": "D.O/ MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08337900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.