Individual provider Active NPI

Omonuwa Osa Adah, MD

  • Internal Medicine Physician
  • Union, NJ
National Provider Identifier
1497339303
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA12261800 Issued in NJ
Practice address
2333 Morris Ave Ste D210
Union, NJ 07083-8037
Phone
(908) 258-0220
Fax
(708) 763-1471
NPI assigned
May 6, 2021
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA12261800 NJ Primary

Addresses

Primary practice location

2333 Morris Ave Ste D210
Union, NJ 07083-8037

Mailing address

2333 Morris Ave Ste D210
Union, NJ 07083-8037
Phone (908) 258-0220

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
I20250626001194 NJ Practitioner - Internal Medicine 3870996697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2333 Morris Ave
Suite D210
Union, NJ 07083-5718
Phone (855) 830-8346

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA12261800NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration NJ LLC CurrentSince Jun 1, 2025 Accepting new patients
Center for Vein Restoration NJ LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

211 Essex St
Ste 403
Hackensack, NJ 07601
Phone (201) 228-9595

3840 Quakerbridge Rd
Ste 220
Hamilton, NJ 08619

1015 New Rd
Ste D
Northfield, NJ 08225

2333 Morris Ave
Ste D210
Union, NJ 07083
Phone (908) 258-0220

Interoperability endpoints

  • Direct secure messaging: omonuwa.adahmd.p5@direct.cvr.nextgenshare.com

Organizations & group practices 2

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": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1497339303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE STE D210",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838037",
            "telephone_number": "908-258-0220",
            "fax_number": "708-763-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE STE D210",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838037",
            "telephone_number": "908-258-0220",
            "fax_number": "708-763-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAH",
        "first_name": "OMONUWA",
        "middle_name": "OSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA12261800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.