Adesola Anuoluwapo Akinyemi, MD, MPH

Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Greenvale, NY

NPI 1194286369 · NPPES record last updated Jul 24, 2025

Key facts

NPI
1194286369
Entity type
Individual (NPI type 1)
Primary specialty
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
License
319665 (NY)
Practice address
2200 Northern Blvd Ste 104
Greenvale, NY 11548-1220
Phone
(516) 304-7372
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Pathology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PC (6,374 clinicians)

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000

Hospital & facility affiliations

  • North Shore University Hospital Hospital · Manhasset, NY · CCN 330106
  • Long Island Jewish Medical Center Hospital · New Hyde Park, NY · CCN 330195
  • NS/Lij HS Southside Hospital Hospital · Bay Shore, NY · CCN 330043
  • Peconic Bay Medical Center Hospital · Riverhead, NY · CCN 330107
  • Plainview Hospital Hospital · Plainview, NY · CCN 330331

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 IDStateProvider typePAC IDDetails
I20250811003566 NY Practitioner - Pathology 8123353174 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
319665NYMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Current
since Jul 1, 2025
Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

1275 York Ave
Ste C551
New York, NY 10065

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

300 Community Dr
Plandome, NY 11030

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 319665 NY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 125075281 IL
Student in an Organized Health Care Education/Training Program 390200000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 319665 NY Yes

Addresses

Primary practice location

2200 Northern Blvd Ste 104
Greenvale, NY 11548-1220

Mailing address

2200 Northern Blvd Ste 104
Greenvale, NY 11548-1220
Phone (516) 304-7372

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 24, 2025.

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1194286369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD STE 104",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481220",
            "telephone_number": "516-304-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD STE 104",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481220",
            "telephone_number": "516-304-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINYEMI",
        "first_name": "ADESOLA",
        "middle_name": "ANUOLUWAPO",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NY",
            "license": "319665",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "125075281",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "319665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenvale, NY

All providers in Greenvale, NY · Anatomic Pathology & Clinical Pathology Physician in New York

Sources for this page

Verify at the official NPI Registry.