Active NPI
Tokunbo T Dada, MD
- Pediatrics Physician
- Irvington, NJ
National Provider Identifier
1144324559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA04826700
- Practice address
- 50 Union Avenue
Sutie 702
Irvington, NJ 07111 - Phone
- (973) 373-7110
- Fax
- (973) 373-0076
- NPI assigned
- Sep 8, 2006
- Last updated
- Apr 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA04826700 | NJ | Primary |
Addresses
Primary practice location
50 Union Avenue
Sutie 702
Irvington, NJ 07111
Mailing address
50 Union Avenue
Sutie 702
Irvington, NJ 07111
Phone (973) 373-7110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 343730201 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04826700 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newark Beth Israel Medical Center Inc | Past | Accepting new patients |
Interoperability endpoints
- tokunbo.dada.1@16632.direct.athenahealth.com
Organizations & group practices 1
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.
-
dba Newark Beth Israel Medical Center
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1144324559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 UNION AVENUE",
"address_2": "SUTIE 702",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "07111",
"telephone_number": "973-373-7110",
"fax_number": "973-373-0076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 UNION AVENUE",
"address_2": "SUTIE 702",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "07111",
"telephone_number": "973-373-7110",
"fax_number": "973-373-0076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADA",
"first_name": "TOKUNBO",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-08",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA04826700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "343730201",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NJ
- Crosslinks Care LLC (Crosslinks Home Health & Staffing)
- Crosslinks Care LLC (Crosslinks Home Health)
- Crosslinks Group Home LLC
- CTW & Associates (The Koi Academy)
- Curasphere Health LLC
- Roody Dalberis, DNP
- Danexa LLC (Althea Hill-Payne)
- Davamaya Disabilities and Adult Care Supports
- Faith Davidson, FNP
- De Cee Home Health Aid LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.