Enidammy Family Practice LLC
NPI 1548906837 · Primary Care Clinic/Center · Edison, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Enidammy Family Practice LLC is a Primary Care Clinic/Center organization in Edison, NJ (NPI 1548906837).
Provider details
- NPI number
- 1548906837
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kehinde Ibitola, Proprietor(973) 493-0026
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-05-09
- Last updated
- 2022-05-09
- Certified
- 2022-05-09
Frequently asked questions
- What is Enidammy Family Practice LLC's NPI number?
- Enidammy Family Practice LLC's National Provider Identifier (NPI) is 1548906837, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Enidammy Family Practice LLC?
- Enidammy Family Practice LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Enidammy Family Practice LLC located?
- Enidammy Family Practice LLC's practice location on file with NPPES is 2177 Oak Tree Rd Ste 206, Edison, NJ 08820-1082.
- What is Enidammy Family Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Enidammy Family Practice LLC is (908) 755-4000.
- Does Enidammy Family Practice LLC accept Medicare?
- Enidammy Family Practice LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Enidammy Family Practice LLC?
- The authorized official listed on Enidammy Family Practice LLC's NPPES record is Kehinde Ibitola, Proprietor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Enidammy Family Practice LLC's NPI active?
- Yes — Enidammy Family Practice LLC's NPI (1548906837) is active in the NPPES registry as of the last update on 2022-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.