DR. PETER O KUPONIYI (NPI# 1285674010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285674010 |
| Entity Type | Individual |
| Full Name | DR. PETER O KUPONIYI |
| Other Name | DR. OLATUNJI KUPONIYI |
| Credential | MD |
| Practice Address |
2626 Tilton Rd Egg Harbor Township NJ 08234-1829 |
| Practice Telephone | 6095685000 |
| Practice Fax Number | 6095685010 |
| Mailing Telephone | 6095685000 |
| Mailing Fax Number | 6095685010 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2011-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
MA059488 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 5535603 | 05 |
| Street Address |
2626 TILTON RD |
| City | EGG HARBOR TOWNSHIP |
| State | NJ |
| Zip Code | 08234-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164956231 | Bmb Consultants P.C. | Clinic/Center | 2626 Tilton Rd, Egg Harbor Township, NJ 08234-1829 | 2017-04-17 |
| 1316195126 | Maureen Mendoza | Nurse Practitioner | 2626 Tilton Rd, Egg Harbor Township, NJ 08234-1829 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073007928 | Black Horse Alr LLC | Clinic/Center | 6817 Black Horse Pike, Egg Harbor Township, NJ 08234 | 2018-06-14 |
| 1548762016 | Rebecca Flanigan | Dietitian, Registered | 2500 English Creek Ave. Building 800, Egg Harbor Township, NJ 08234 | 2018-03-01 |
| 1386164143 | Community Quest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Apartment 312 400 Manor Drive, Absecon, NJ 08234 | 2017-06-22 |
| 1639607740 | Swarnalata Debbarma | Psychiatry & Neurology | Atlanticare Behavioral Health, Inc, Egg Harbor Twp., NJ 08234 | 2017-06-02 |
| 1164956751 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Waverly Road, Cardiff, NJ 08234 | 2017-04-20 |
| 1417481003 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 409 Dogwood Lane, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1073047668 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Stone Mill Court, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1831623412 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Springfield Avenue, Mc Kee City, NJ 08234 | 2017-04-20 |
| 1821453234 | Community Quest | Respite Care | 6814 Tilton Road, Egg Harbor Township, NJ 08234 | 2015-12-30 |
| 1023481074 | Caringhouse Projects, Inc | Respite Care | 15 Erma Drive, Egg Harbor Township, NJ 08234 | 2015-11-12 |
| Find all providers in zip 08234 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407324940 | Omni Healthcare Services Inc. | Internal Medicine | 184 S Livingston Ave # 9272, Livingston, NJ 07039-3014 | 2018-11-02 |
| 1811388416 | Walnut Medical Group LLC | Internal Medicine | 60 Walnut Ave Ste 200, Clark, NJ 07066-1647 | 2015-02-18 |
| 1538474408 | Jerry Thomas Md and Associates | Internal Medicine | 134-6 Franklin Corner Road, Lawrenceville, NJ 08648-5246 | 2010-08-16 |
| 1811151269 | Joseph Durso Coffineau | Internal Medicine | 336 S Pitney Rd, Galloway, NJ 08205-9628 | 2008-07-15 |
| 1619051711 | David Canavan | Internal Medicine | Professional Assistance Program of Nj, 742 Alexander Road, Princeton, NJ 08650 | 2006-10-25 |
| 1245345743 | Michael S Deshields | Internal Medicine | 801 New York Ave, Trenton, NJ 08638-3913 | 2006-08-21 |
| 1588647143 | David P Russo | Internal Medicine | 133 Polk Ln, Bridgeton, NJ 08302-5905 | 2005-11-28 |
| 1013475953 | Rejuvenation Center for Mind and Body | Internal Medicine | 555 Preakness Ave, Totowa, NJ 07502-1012 | 2019-03-11 |
| 1154851475 | Admed Centers LLC | Internal Medicine | 152 Central Ave, Clark, NJ 07066-1115 | 2017-06-19 |
| 1215479308 | Initia Nova Medical Solutions | Internal Medicine | 1930 Marlton Pike E, Cherry Hill, NJ 08003-2150 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
| City | EGG HARBOR TOWNSHIP |
| Zip Code | 08234 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.