Active NPIIndividual providerSole proprietor

Damilola E Fenwa

Nurse Practitioner, Family in Union, New Jersey

NPI Number1225962293
Practice location
501 Thoreau Ter, Union, NJ 07083-7829
Fax
862-224-0308
Last updated
June 12, 2026

Damilola Eunice Fenwa is a Nurse Practitioner, Family based in Union, NJ. Damilola Eunice Fenwa practices in Union, NJ. The NPI Number for Damilola Eunice Fenwa is 1225962293 and holds a License No. 2026024500 (NJ). The current practice location address for Damilola Eunice Fenwa is 501 Thoreau Ter, Union, NJ 07083-7829 and can be reached out via phone at 862-224-0308 and via fax at 862-224-0308.

Provider Profile Details

NPI Number
1225962293
Provider Name
Damilola Eunice Fenwa
Provider Entity Type
Individual
Address
501 Thoreau Ter, Union, NJ 07083-7829
Phone Number
862-224-0308
Fax Number
862-224-0308
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
June 12, 2026
Last Update Date
June 12, 2026
Certification Date
June 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
501 Thoreau Ter
Union, NJ 07083-7829
City
Union
Zip
07083-7829
Phone Number
862-224-0308
Fax Number
862-224-0308
Union, NJ 07083Get directions →

Provider Business Mailing Address Details

Address
501 Thoreau Ter
Union, NJ 07083-7829
City
Union
State
NJ
Zip
07083-7829

License Information

License Number
2026024500
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Damilola E Fenwa?

The NPI number of Damilola E Fenwa is 1225962293. It was assigned on June 12, 2026 and is currently active in the NPPES registry.

What is the specialty of Damilola E Fenwa?

Damilola E Fenwa is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 2026024500.

Where does Damilola E Fenwa practice?

The practice location is 501 Thoreau Ter, Union, NJ 07083-7829. The office can be reached at 862-224-0308 (phone) or 862-224-0308 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225962293 directly on the NPPES registry website.

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