Kofoworola Ojo, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA10902700 Issued in NJ

Practice address

51 John F Kennedy Pkwy FL 1
Short Hills, NJ 07078-2713

Phone

(201) 389-2729

NPI assigned

May 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ, OR, PA, FL5 enrollments

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 5

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kofoworolaojo@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Barnabas Health Medical Group, PC

  • Specialist
  • West Orange, NJ
  • NPI 1447206420
  Medicare reassignment NPD
• Amboy Medical Practice PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1700037975

  Psychiatry

  Medicare reassignment NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023

  NJ

  Medicare reassignment NPD
• Legacy Clinics LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1902827272
  Medicare reassignment NPD
• Tower Health Medical Group

  dba Internal Medicine - Tower Health Medical Group

  • Internal Medicine Physician
  • Birdsboro, PA
  • NPI 1609291350
  Medicare reassignment NPD
• Allina Health System

  dba Allina Health Minneapolis Heart Institute

  • Specialist
  • Saint Paul, MN
  • NPI 1447550702
  NPD
• Allina Health System

  dba River Falls Professional Services

  • Emergency Medicine Physician
  • River Falls, WI
  • NPI 1578507513
  NPD
• Amboy Medical Practice PC

  • Diagnostic Radiology Physician
  • Staten Island, NY
  • NPI 1104692672
  NPD
• Legacy Clinics LLC

  dba Legacy Medical Group Firwood

  • Rural Health Clinic/Center
  • Sandy, OR
  • NPI 1730472192
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Psychiatry

  NPD
• Tower Health Medical Group

  dba Neonatology - Tower Health Medical Group

  • Neonatal-Perinatal Medicine Physician
  • West Reading, PA
  • NPI 1811088537
  NPD
• Tower Health Medical Group

  dba Breast Health Center Wyomissing Tower Health Medical Group

  • Surgery Physician
  • Wyomissing, PA
  • NPI 1831954353
  NPD

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1942658075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 JOHN F KENNEDY PARKWAY",
            "address_2": "FIRST FLOOR WEST #2008",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "07078",
            "telephone_number": "012-389-2729",
            "fax_number": "201-270-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 JOHN F KENNEDY PKWY FL 1",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782713",
            "telephone_number": "201-389-2729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Bard Ave",
            "address_2": "Department of Psychiatry, 1st Floor",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103101664",
            "country_code": "US",
            "telephone_number": "718-818-4121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 Brickell Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331313041",
            "country_code": "US",
            "telephone_number": "201-389-2729",
            "fax_number": "201-270-0194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Brickell Ave # 400-39",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331313132",
            "country_code": "US",
            "telephone_number": "201-389-2729",
            "fax_number": "201-270-0194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Ashley Dr Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336024310",
            "country_code": "US",
            "telephone_number": "201-389-2729",
            "fax_number": "201-270-0194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OJO",
        "first_name": "KOFOWOROLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "308634-01",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD477918",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME163089",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "70216",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA10902700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Noumi
• Nuage Therapy & Medical Supply LLC
• Nurture Develop & Achieve LLC
• Ifeoma Nwafor, APN, PMHNP-BC
• Nynj Psychiatric Associates LLC
• Marcha L Oliphant, APN
• Christopher Joseph Otto, RPH.
• Jasmine Owarish-Gross
• Grace Onozare Oyebanji
• Palmtree Medical Care LLC

• Psychiatry Physician in Short Hills, NJ
• Providers in Short Hills, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.