Ayoade O. Adeniyi, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

222671 Issued in NY

Practice address

1650 Grand Concourse
Bronx, NY 10457-7606

Phone

(718) 518-5760

Fax

(718) 518-5124

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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.

• Bronxcare Health System

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1417027558
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 18, 2009.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1114001054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SELWYN AVE",
            "address_2": "SUITE 6D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577626",
            "telephone_number": "718-960-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577606",
            "telephone_number": "718-518-5760",
            "fax_number": "718-518-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENIYI",
        "first_name": "AYOADE",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "222671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01733857",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agboade Ademiju
• Nadeje Ademiju
• Mary Oluwaseun Ademola, LMSW
• Kelani Oladepo Adeniji
• Lovelace Folake Adeniseun
• Oluwayomi Adeniyi, PHARMD
• Yewande Adeniyi, LPN
• Moyosore Adeola
• Adejoke A Adeoso, P.A
• Monsurat Adeoye

• All providers in Bronx, NY
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.