Yetunde Adeola, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA08841500 Issued in NJ

Practice address

225 Millburn Ave
Suite 210
Millburn, NJ 07041-1737

Phone

(973) 494-4614

NPI assigned

Jun 18, 2007

Last updated

Jul 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Psychiatry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sammaret Behavioral Services PC

  • Adult Mental Health Clinic/Center
  • Millburn, NJ
  • NPI 1871872226
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1033314299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 COMMONWEALTH AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063027",
            "telephone_number": "973-374-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE",
            "address_2": "SUITE 210",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-494-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEOLA",
        "first_name": "YETUNDE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08841500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 5 Point Physical Therapy and Wellness LLC
• Aan Orthopedics, P.C.
• Maria Abada, LPC
• Safiya Abouzaid
• Acn Health, LLC
• Advanced Ambulatory Anesthesiologists LLC
• Advanced Comprehensive Laboratory
• Advanced Therapeutic Center LLC
• Agape Touch LLC Dba Preferred Care at Home of Northeast New Jersey (Preferred Care at Home)
• Idrees Ahmad, M.D.

• Psychiatry Physician in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.