Ayomide Oluwatamilore Ademola-Adesina, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Syracuse, NY
NPI 1043101892 · NPPES record last updated Jul 22, 2025
Key facts
- NPI
- 1043101892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 750 E Adams St
Syracuse, NY 13210-2306 - Phone
- (315) 464-5450
- NPI assigned
- Jul 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
750 E Adams St
Syracuse, NY 13210-2306
Mailing address
750 E Adams St
Syracuse, NY 13210-2306
Other providers in Syracuse, NY
- Patrick Randall Adcock
- Beverly J Addison
- Brazzie Addison IV
- Jordan Elizabeth Adduci
- Mark David Adelson
- Rejs Ademovic
- Weli Sanbul Aden I
- Oluwakanyinsola Morinsola Adenusi
- Adekanyinsola Adeyemo
- Aayam Adhikari
All providers in Syracuse, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.