ENIDAMMY FAMILY PRACTICE LLC
NPI 1548906837
Clinic/Center - Primary Care in Edison, NJ
About Enidammy Family Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENIDAMMY FAMILY PRACTICE LLC (NPI 1548906837) is a healthcare organization registered as a primary care in Edison, New Jersey and active in the NPI registry since May 2022. The organization lists Kehinde Ibitola, Proprietor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Enidammy Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Enidammy Family Practice LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Enidammy Family Practice LLC's NPI number?
The NPI number for Enidammy Family Practice LLC is 1548906837. It was assigned to this organization in the NPPES registry on May 9, 2022.
Where is Enidammy Family Practice LLC located?
Enidammy Family Practice LLC is located at 2177 Oak Tree Rd Ste 206, Edison, NJ 08820. The listed phone number is (908) 755-4000.
What is Enidammy Family Practice LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Enidammy Family Practice LLC enrolled in Medicare?
Yes. Enidammy Family Practice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Enidammy Family Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Enidammy Family Practice LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Enidammy Family Practice LLC was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Enidammy Family Practice Llc · NPI 1548906837
Primary Care organization in Edison, New Jersey. Organization record, active in the CMS NPPES registry since May 9, 2022.
## Identity
- **NPI:** 1548906837 (Entity type: Organization)
- **Enumerated:** May 9, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Kehinde Ibitola, PROPRIETOR
## Practice location
- **Address:** 2177 OAK TREE RD STE 206, Edison, NJ 08820-1082
- **Phone:** (908) 755-4000 · **Fax:** (908) 755-4006
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Nurse Practitioner (2); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1548906837) · Data from the CMS NPPES public registry.