Kehinde Williams Ibitola, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Cliffwood, NJ
NPI 1194293530 · NPPES record last updated Nov 4, 2018
Key facts
- NPI
- 1194293530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ00866700 (NJ)
- Practice address
- 10 Biondi Ave
Cliffwood, NJ 07721-1301 - Phone
- (973) 493-0026
- NPI assigned
- Nov 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- 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 I
Practice addresses (Care Compare)
1301 Main St
Asbury Park, NJ 07712-5359
Phone (732) 774-6333
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190207002175 | NJ | Practitioner - Nurse Practitioner | 0840538351 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visiting Nurse Association of Central Jersey Community Health Center I | Current | Accepting new patients | |
| Visiting Nurse Association of Central Jersey Community Health Center I | Current |
Accepting new patients | |
| Neighborhood Health Services Corporation | Current |
Accepting new patients | |
| Visiting Nurse Association of Central Jersey Community Health Center I | Current |
Accepting new patients | |
| Enidammy Family Practice LLC | Current |
Accepting new patients | |
| Neighborhood Health Services Corporation | Current |
Accepting new patients | |
| Sikiru a. Gbadamosi, M.D., LLC | Past | Accepting new patients | |
| Visiting Nurse Association of Central Jersey, Community Health Center, | Past | Accepting new patients |
Locations
1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333
2177 Oak Tree Rd
Ste 206
Edison, NJ 08820
Phone (908) 755-4000
2177 Oak Tree Rd
Edison, NJ 08820
Phone (908) 754-2100
597 Park Ave
Freehold, NJ 07728
Phone (732) 294-2540
35 Broad St
Keyport, NJ 07735
Phone (732) 888-4149
1700 Myrtle Ave
#58
Plainfield, NJ 07063
Phone (908) 753-6401
Interoperability endpoints
- kehinde.ibitola.1@15128.direct.athenahealth.com
- https://api.platform.athenahealth.com/15128/brand/1/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kehinde.ibitola.p1@direct.nhscnj.nextgenshare.com
- https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4
- kehinde.ibitola.p1@direct.vnahg.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00866700 | NJ | Yes |
Addresses
Primary practice location
10 Biondi Ave
Cliffwood, NJ 07721-1301
Mailing address
10 Biondi Ave
Cliffwood, NJ 07721-1301
Phone (973) 493-0026
Other providers in Cliffwood, NJ
- Rielle Marie Hambrose
- Patricia Hanson
- Kristina Maria Heredia I
- Steven Benjamin Hoffman
- Elizabeth Ianno
- Ashley Starr Jackson
- Karen Anne Johnson
- Andrew Kaplan
- Patricia Kazanowski
- Imani Kelley
All providers in Cliffwood, NJ · Family Nurse Practitioner 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 Nov 4, 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.