Kehinde Williams Ibitola, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00866700 Issued in NJ

Practice address

10 Biondi Ave
Cliffwood, NJ 07721-1301

Phone

(973) 493-0026

NPI assigned

Nov 4, 2018

Last updated

Nov 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visiting Nurse Association of Central Jersey Community Health Center IGroup PAC ID 1456250679, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/15128/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kehinde.ibitola.1@15128.direct.athenahealth.com
• Direct secure messaging: kehinde.ibitola.p1@direct.nhscnj.nextgenshare.com
• Direct secure messaging: kehinde.ibitola.p1@direct.vnahg.nextgenshare.com

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.

• Enidammy Family Practice LLC

  • Primary Care Clinic/Center
  • Edison, NJ
  • NPI 1548906837
  Medicare reassignment NPD Authorized official
• Visiting Nurse Association of Central Jersey Community Health Center I

  • Federally Qualified Health Center (FQHC)
  • Asbury Park, NJ
  • NPI 1841240561
  Medicare reassignment Care Compare group NPD
• Neighborhood Health Services Corporation

  dba Neighborhood Health Center - Phillipsburg

  • Federally Qualified Health Center (FQHC)
  • Phillipsburg, NJ
  • NPI 1003850488
  Medicare reassignment NPD
• Neighborhood Health Services Corporation

  dba Neighborhood Health Center - Elizabeth

  • Federally Qualified Health Center (FQHC)
  • Elizabeth, NJ
  • NPI 1538383666
  NPD
• Visiting Nurse Association of Central Jersey Community Health Center I

  • Federally Qualified Health Center (FQHC)
  • Keyport, NJ
  • NPI 1003867250
  NPD
• Visiting Nurse Association of Central Jersey Community Health Center I

  dba VNACJ CHC Pharmacy

  • Community/Retail Pharmacy
  • Asbury Park, NJ
  • NPI 1205621018
  NPD
• Sikiru a. Gbadamosi, M.D., LLC

  • Internal Medicine Physician
  • Edison, NJ
  • NPI 1891955811
  NPD (past)
• Visiting Nurse Association of Central Jersey, Community Health Center,

  dba Freehold Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Freehold, NJ
  • NPI 1609343912
  NPD (past)

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

{
    "created_epoch": "1541289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541289600000",
    "number": "1194293530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BIONDI AVE",
            "city": "CLIFFWOOD",
            "state": "NJ",
            "postal_code": "077211301",
            "telephone_number": "973-493-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BIONDI AVE",
            "city": "CLIFFWOOD",
            "state": "NJ",
            "postal_code": "077211301",
            "telephone_number": "973-493-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBITOLA",
        "first_name": "KEHINDE",
        "middle_name": "WILLIAMS",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-04",
        "last_updated": "2018-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00866700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rielle Marie Hambrose, LPC, LCADC
• Patricia Hanson, RN
• Kristina Maria Heredia I
• Steven Benjamin Hoffman
• Elizabeth Ianno, RN
• Ashley Starr Jackson
• Karen Anne Johnson, RN
• Andrew Kaplan
• Patricia Kazanowski, LCADC
• Imani Kelley, LPN

• Family Nurse Practitioner in Cliffwood, NJ
• Providers in Cliffwood, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.