Organization Active NPI

Hoperestoredmd LLC

  • Psychiatry Physician
  • Princeton, NJ
National Provider Identifier
1790500775
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HOPERESTOREDMD LLC
Practice address
132 Main Street
Princeton, NJ 08540
Phone
(609) 336-5352
NPI assigned
Nov 15, 2024
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Dr. Kafilat Y Ojo, MDNPI 1083020119
Title
Owner/ Ceo
Phone
(732) 801-7434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

132 Main Street
Princeton, NJ 08540

Mailing address

132 Main Street
Princeton, NJ 08540
Phone (609) 633-6535

Other names 1

  • Hope RestoredMD, LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250203001696 NJ Part B Supplier - Clinic/Group Practice 9234668427 Receives reassigned benefits from 2 practitioners
Practice locations: Princeton, NJ

National Provider Directory

National Provider Directory

Locations

132 Main St
Princeton, NJ 08540
Phone (609) 336-5352

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1790500775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MAIN STREET",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-633-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MAIN STREET",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-336-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPERESTOREDMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "OJO",
        "authorized_official_first_name": "KAFILAT",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "732-801-7434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope RestoredMD, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hope RestoredMD, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.

Verify at the official NPI Registry.