| Kehinde Williams Ibitola, APRN, FNP-C | |
|
10 Biondi Ave, Cliffwood, NJ 07721-1301 | |
| (973) 493-0026 | |
| Not Available |
| Full Name | Kehinde Williams Ibitola |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 10 Biondi Ave, Cliffwood, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194293530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00866700 (New Jersey) | Primary |
| Entity Name | Neighborhood Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003850488 PECOS PAC ID: 3072402395 Enrollment ID: O20110713000253 |
| Entity Name | Enidammy Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548906837 PECOS PAC ID: 1951783323 Enrollment ID: O20220802000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Kehinde Williams Ibitola, APRN, FNP-C 10 Biondi Ave, Cliffwood, NJ 07721-1301 Ph: (973) 493-0026 | Kehinde Williams Ibitola, APRN, FNP-C 10 Biondi Ave, Cliffwood, NJ 07721-1301 Ph: (973) 493-0026 |
Ms. Jennifer Rose Curran, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Matawan Ave Apt 314a, Cliffwood, NJ 07721 Phone: 732-768-9418 | |
Marybeth Blood, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 State Route 35, Cliffwood, NJ 07721 Phone: 732-727-2555 |