Individual provider Active NPI

Inua Momodu, MD

  • Psychiatry Physician
  • Linwood, NJ
National Provider Identifier
1518067255
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA07531400 Issued in NJ
Practice address
2021 New Rd Ste 15
Linwood, NJ 08221-1045
Phone
(609) 596-2360
Fax
(888) 487-0032
NPI assigned
Sep 23, 2006
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA07531400 NJ Primary
Child & Adolescent Psychiatry Physician 2084P0804X 25MA07531400 NJ

Addresses

Primary practice location

2021 New Rd Ste 15
Linwood, NJ 08221-1045

Mailing address

111 New Bridge Rd
Egg Harbor Township, NJ 08234-6999
Phone (609) 402-5010

Other identifiers 1

IdentifierTypeStateIssuer
0036846MedicaidNJ

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
I20040907000267 NJ Practitioner - PsychiatryPractitioner - NeurologyPractitioner - Geriatric PsychiatryPractitioner - Addiction Medicine 3779559224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, Geriatric Psychiatry, Neurology
Education
Jefferson Medical College of Thomas Jefferson University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family Service of Atlantic CountyGroup PAC ID 1052304573, 8 clinicians

Practice addresses (Care Compare)

607 N Jerome Ave
Margate, NJ 08402-1527
Phone (609) 822-1108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Atlantic County CurrentSince Oct 16, 2024 Accepting new patients
Shore Behavioral Healthcare, Inc. Psychiatry CurrentSince Jan 3, 2026 Accepting new patients

Locations

2021 New Rd
Ste 15
Linwood, NJ 08221
Phone (609) 226-1261

607 N Jerome Ave
Margate City, NJ 08402
Phone (609) 822-1108

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1518067255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW BRIDGE RD",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082346999",
            "telephone_number": "609-402-5010",
            "fax_number": "888-487-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 NEW RD STE 15",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211045",
            "telephone_number": "609-596-2360",
            "fax_number": "888-487-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMODU",
        "first_name": "INUA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07531400",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA07531400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036846",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.