Enidammy Family Practice LLC
Clinic/Center, Primary Care in Edison, New Jersey
1548906837- Practice location
- 2177 Oak Tree RD Ste 206, Edison, NJ 08820-1082
- Phone
- 908-755-4000
- Fax
- 908-755-4006
- Last updated
- May 9, 2022
Enidammy Family Practice LLC is a healthcare organization based in Edison, NJ. Enidammy Family Practice LLC practices in Edison, NJ. The NPI Number for Enidammy Family Practice LLC is 1548906837. The current practice location address for Enidammy Family Practice LLC is 2177 Oak Tree RD Ste 206, Edison, NJ 08820-1082 and can be reached out via phone at 908-755-4000 and via fax at 908-755-4006.
Provider Profile Details
- NPI Number
- 1548906837
- Provider Name
- Enidammy Family Practice LLC
- Provider Entity Type
- Organization
- Address
- 2177 Oak Tree RD Ste 206, Edison, NJ 08820-1082
- Phone Number
- 908-755-4000
- Fax Number
- 908-755-4006
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Organization Subpart
- No
- Authorized Official
- Kehinde Ibitola, APN · Proprietor · 973-493-0026
- Provider Enumeration Date
- May 9, 2022
- Last Update Date
- May 9, 2022
- Certification Date
- May 9, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2177 Oak Tree RD Ste 206
Edison, NJ 08820-1082 - City
- Edison
- State
- New Jersey
- Zip
- 08820-1082
- Phone Number
- 908-755-4000
- Fax Number
- 908-755-4006
Provider Business Mailing Address Details
- Address
- 2177 Oak Tree RD Ste 206
Edison, NJ 08820-1082 - City
- Edison
- State
- NJ
- Zip
- 08820-1082
- Phone Number
- 908-755-4000
- Fax Number
- 908-755-4006
License Information
- Taxonomy
- Clinic/Center, Primary Care · 261QP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Enidammy Family Practice LLC?
The NPI number of Enidammy Family Practice LLC is 1548906837. It was assigned on May 9, 2022 and is currently active in the NPPES registry.
What is the specialty of Enidammy Family Practice LLC?
Enidammy Family Practice LLC is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X).
Where does Enidammy Family Practice LLC practice?
The practice location is 2177 Oak Tree RD Ste 206, Edison, NJ 08820-1082. The office can be reached at 908-755-4000 (phone) or 908-755-4006 (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 1548906837 directly on the NPPES registry website.