Individual provider Active NPI

Adedoyin Solomon, FNP

  • Family Nurse Practitioner
  • Hawthorne, NY
National Provider Identifier
1093190043
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F339563 Issued in NY
Practice address
19 Bradhurst Ave
Suite 2300
Hawthorne, NY 10532-2140
Phone
(914) 493-2220
Fax
(914) 493-2416
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F339563 NY Primary

Addresses

Primary practice location

19 Bradhurst Ave
Suite 2300
Hawthorne, NY 10532-2140

Mailing address

19 Bradhurst Ave
Suite 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018

Other identifiers 2

IdentifierTypeStateIssuer
04194478MedicaidNY
339563OtherNYNYS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Adedoyin.Solomon@wmchealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150826000947 NY Practitioner - Nurse Practitioner 6406162122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dobbs Ferry Emergency Medicine, PCGroup PAC ID 8022908268, 39 clinicians

Practice addresses (Care Compare)

128 Ashford Ave
Dobbs Ferry, NY 10522-1924
Phone (914) 964-4370

2 Park Ave
Yonkers, NY 10703-3402
Phone (914) 964-4370

Hospital & facility affiliations

  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F339563NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dobbs Ferry Emergency Medicine, PC CurrentSince May 1, 2025 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jan 1, 2016 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jan 1, 2016 Accepting new patients
Westchester Medical Center Past Accepting new patients

Locations

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

19 Bradhurst Ave
Ste 2100N
Hawthorne, NY 10532
Phone (914) 493-8375

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

689 Mamaroneck Ave
Fl 3
Mamaroneck, NY 10543

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
  • Direct secure messaging: adedoyin.solomon@wmchealth.cernerdirect.com

Organizations & group practices 4

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

Hospital & facility affiliations 1

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": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1093190043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "address_2": "SUITE 3100N",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-909-9018",
            "fax_number": "914-909-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "address_2": "SUITE 2300",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-493-2220",
            "fax_number": "914-493-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "ADEDOYIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04194478",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "339563",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Adedoyin.Solomon@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Adedoyin.Solomon@wmchealth.cernerdirect.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "19 Bradhurst Ave",
            "address_2": "Suite 2300",
            "city": "Hawthorne",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105322140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

Verify at the official NPI Registry.