Neema R. Afejuku-Adelaja, M.D.
Individual provider Active NPI Family Medicine Physician · Clifton Park, NY
NPI 1184854101 · NPPES record last updated May 4, 2021
Key facts
- NPI
- 1184854101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 254502 (NY)
- Practice address
- 1 Tallow Wood Dr
Clifton Park, NY 12065-2807 - Phone
- (518) 373-4444
- Fax
- (518) 373-4418
- NPI assigned
- Jul 24, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Samaritan Hospital of Troy, New York
Practice addresses (Care Compare)
1 Tallow Wood Dr
Clifton Park, NY 12065-2807
Phone (518) 373-4444
Hospital & facility affiliations
- Eddy Visiting Nurse & Rehab Association
- Samaritan Hospital of Troy, New York
- St Peter'S Hospital
- Ellis Hospital
- Sunnyview Hospital and Rehabilitation Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091030000128 | NY | Practitioner - Family Practice | 0648317297 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Hospital of Troy, New York | Family Medicine | Current |
Accepting new patients |
Locations
1 Tallow Wood Dr
Clifton Park, NY 12065
Phone (518) 373-4444
713 Troy Schenectady Rd
Ste 304
Latham, NY 12110
Phone (518) 373-4448
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
Interoperability endpoints
- nafejuku834446@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 254502 | NY | Yes |
Addresses
Primary practice location
1 Tallow Wood Dr
Clifton Park, NY 12065-2807
Mailing address
PO Box 14890
Albany, NY 12212
Other practice location 1
624 McClellan St
Suite 101
Schenectady, NY 12304-1020
Phone (518) 382-2260
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03153582 | Medicaid | NY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Other providers in Clifton Park, NY
- Adirondack Nurse Practitioner in Adult Health, PC
- Adirondack Orthodontics
- Kathryn Adkins
- Adult Care Essentials Inc.
- Advanced Medical Billing and Staffing, LLC
- Suzanne Busun Ahn
- Shalini Ahuja
- Alan Sandler
- Albany Advanced Imaging PLLC
- Albany Medical College
All providers in Clifton Park, NY · Family Medicine Physician 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 May 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.