Active NPI
Adedamola Adesuyi Folowosele
- Pharmacist
- East Orange, NJ
National Provider Identifier
1144742404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03846200
- Practice address
- 90 Washington St
East Orange, NJ 07017-1050 - Phone
- (973) 676-0800
- Fax
- (973) 676-1408
- NPI assigned
- Jul 7, 2017
- Last updated
- Jul 7, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03846200 | NJ | Primary |
Addresses
Primary practice location
90 Washington St
East Orange, NJ 07017-1050
Mailing address
12 Corners Rd
Congers, NY 10920-1222
Phone (845) 499-0132
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03846200 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499385600000",
"number": "1144742404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CORNERS RD",
"city": "CONGERS",
"state": "NY",
"postal_code": "109201222",
"telephone_number": "845-499-0132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 WASHINGTON ST",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070171050",
"telephone_number": "973-676-0800",
"fax_number": "973-676-1408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLOWOSELE",
"first_name": "ADEDAMOLA",
"middle_name": "ADESUYI",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-07",
"last_updated": "2017-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03846200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.