Kafilat Adewunmi, D.O/ MBA
Individual provider Active NPI Family Medicine Physician · Union, NJ
NPI 1134326010 · NPPES record last updated Aug 13, 2018
Key facts
- NPI
- 1134326010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25MB08337900 (NJ)
- Practice address
- 2333 Morris Ave Ste A117
Union, NJ 07083 - Phone
- (908) 481-9600
- Fax
- (908) 687-1900
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081023000151 | NJ | Practitioner - Family Practice |
5991863789 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Master of Business Administration
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Jersey Medical Center, Inc. | Current |
Accepting new patients | |
| Vama Medical Health Center | Family Medicine | Current |
Accepting new patients |
| Rowansom Dept of Pediatrics | Past | Accepting new patients | |
| Camden County Health Services Center | Past |
Accepting new patients | |
| Total Support Medical Group Inc. | Past | Accepting new patients |
Locations
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
275 Hobart St
Perth Amboy, NJ 08861
Phone (732) 376-6635
69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250
2333 Morris Ave
Ste A117
Union, NJ 07083
Phone (908) 481-9600
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JHIFCD/Endpoint/JHIFCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB08337900 | NJ | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0174351 | Medicaid | NJ |
Other providers in Union, NJ
- Omonuwa Osa Adah
- Fauzia Mohammed Adams
- Adewale Adefowoju
- Kudirat Funmilayo Adeleke
- Marcus Adewale Adeniyi
- Anny Adimora
- Advanced Family Counseling Services
- Advanced Healing & Pain Relief Center, LLC
- Advanced Pain Management
- Advanced Podiatry PA
All providers in Union, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.