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
Hospital & facility affiliations 5
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
Practice addresses (Care Compare)
10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000
Hospital & facility affiliations
- North Shore University Hospital
- Long Island Jewish Medical Center
- NS/Lij HS Southside Hospital
- Peconic Bay Medical Center
- Plainview Hospital
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 |
|---|---|---|---|---|
| I20250811003566 | NY | Practitioner - Pathology | 8123353174 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 319665 | NY | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Vincent Jerome Abbatiello
- Advanced Internal Medicine Group PC
- Ahmad Latefi DO PLLC
- Onat Akin
- Bryant Alarcon
- Daniela Alayev
- Amr Ali
- Bonnie Aloia
- Maria Dolores Alte
All providers in Greenvale, NY · Anatomic Pathology & Clinical Pathology 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 Jul 24, 2025. 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.