Active NPI
Inua Momodu, MD
- Psychiatry Physician
- Linwood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA07531400
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0036846 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service of Atlantic County | Current | Accepting new patients | |
| Shore Behavioral Healthcare, Inc. | Psychiatry | Current | 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.
-
- Community/Behavioral Health Agency
- Margate City, NJ
- NPI 1659432524
-
- Psychiatry Physician
- Linwood, NJ
- NPI 1891025672
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
- 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; 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.