Active NPI
KCS Medical Consulting LLC
- Psychiatric/Mental Health Nurse Practitioner
- Huntingdon Valley, PA
National Provider Identifier
1376358952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- KCS MEDICAL CONSULTING LLC
- Practice address
- 380 Red Lion Rd
Huntingdon Valley, PA 19006-6451 - Phone
- (267) 277-3668
- NPI assigned
- Feb 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Oluwatobi Emmanuel Menawonu, PHMNP
- Title
- Director
- Phone
- (215) 834-3656
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
380 Red Lion Rd
Huntingdon Valley, PA 19006-6451
Mailing address
7001 Rising Sun Ave
Philadelphia, PA 19111-3941
Phone (215) 834-3656
Other names 1
- KCS Medical AND PSYCH Consulting LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220803003984 | PA | Part B Supplier - Clinic/Group Practice | 1557743705 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Huntingdon Valley, PA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
380 Red Lion Rd
Huntingdon Valley, PA 19006
Phone (215) 870-6296
380 Red Lion Rd
Ste 240
Huntingdon Valley, PA 19006
Phone (215) 494-0325
7001 Rising Sun Ave
Philadelphia, PA 19111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739232000000",
"number": "1376358952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 RISING SUN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191113941",
"telephone_number": "215-834-3656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 RED LION RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190066451",
"telephone_number": "267-277-3668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KCS MEDICAL CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-11",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A",
"authorized_official_last_name": "MENAWONU",
"authorized_official_first_name": "OLUWATOBI",
"authorized_official_middle_name": "EMMANUEL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "215-834-3656",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHMNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KCS Medical AND PSYCH Consulting LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntingdon Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.