Kuponiyi Family Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KUPONIYI FAMILY MEDICINE

Practice address

199 New Rd
Suite 61-398
Linwood, NJ 08221-2025

Phone

(609) 534-5859

NPI assigned

Feb 23, 2016

Organization subpart

No

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

Authorized official

Name

Mojisola Dabney

Title

Ceo

Phone

(609) 534-5859

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1922467620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 NEW RD",
            "address_2": "SUITE 61-398",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 NEW RD",
            "address_2": "SUITE 61-398",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212025",
            "telephone_number": "609-534-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUPONIYI FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "DABNEY",
        "authorized_official_first_name": "MOJISOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-534-5859"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lousie Koushel, PTA
• Alyse Brooke Kovacsik, D.P.T.
• Susan Ruth Krantz, M.A. , R.D., C.D.E.
• Edward James Kryjer, OTR
• Elizabeth J Kull
• L.C. Janes, D.O., P.C.
• Brianna Lagroteria
• Alicia Lai, DPM
• Laura Janis Huberman, LLC
• LDSP LLC

• Internal Medicine Physician in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.