Individual provider Active NPI

Adekunle Oyesile, PT

  • Family Medicine Physician
  • Roselle, NJ
National Provider Identifier
1003140666
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS026164 Issued in PA
Practice address
340 E 7TH Ave
Roselle, NJ 07203-2159
Phone
(845) 801-3451
NPI assigned
Sep 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X OT023058 PA
Family Medicine Physician 207Q00000X OS026164 PA Primary
Physical Therapist 225100000X 40QA01329500 NJ

Addresses

Primary practice location

340 E 7TH Ave
Roselle, NJ 07203-2159

Mailing address

340 E 7TH Ave
Roselle, NJ 07203-2159
Phone (845) 801-3451

Other practice location 1

135 S Bryn Mawr Ave Ste 200
Bryn Mawr, PA 19010-3129
Phone (610) 325-1390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721001256 PA Order and Referring Only - Family PracticePractitioner - Family Practice 7416091863

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, New York, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

135 S Bryn Mawr Ave
Suite 200
Bryn Mawr, PA 19010-3129

3803 W Chester Pike
Suite 160
Newtown Square, PA 19073-2336

Hospital & facility affiliations

  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01329500NJMDPhysical Therapist

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1003140666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 7TH AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032159",
            "telephone_number": "845-801-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 7TH AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032159",
            "telephone_number": "845-801-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 S Bryn Mawr Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103129",
            "country_code": "US",
            "telephone_number": "610-325-1390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OYESILE",
        "first_name": "ADEKUNLE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "OT023058",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS026164",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01329500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, NJ

Sources for this page

Verify at the official NPI Registry.