NPIMap

Individual provider Active NPI

Adesuwa Ruby Okesanya, M.D.

  • Family Medicine Physician
  • Berkeley Heights, NJ
National Provider Identifier
1194982579
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09784700 Issued in NJ
Practice address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone
(718) 816-6440
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09784700 NJ Primary
Hospitalist Physician 208M00000X 25MA09784700 NJ

Addresses

Primary practice location

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Other names 1

  • Dr. Adesuwa Ruby Ighodaro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100717000241 NY Practitioner - Family Practice 9032241658 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY
I20170518001749 NJ Practitioner - HospitalistPractitioner - Family PracticePractitioner - Internal Medicine 9032241658 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Icahn School of Medicine at Mount Sinai, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians
House Physician Partners PCGroup PAC ID 7517944366, 31 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3090

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154
  • Atlas Rehabilitation and Healthcare at Daughters O Nursing home, Clifton, NJ, CCN 315021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Nov 18, 2019 Accepting new patients
Browne Medical, LLC CurrentSince Nov 20, 2018 Accepting new patients
Capital Health Multispecialty Group Internal Medicine CurrentSince Apr 2, 2019 Accepting new patients
Summit Medical Group PA CurrentSince Nov 18, 2019 Accepting new patients
Multiviz Medical Services PC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
House Physician Partners, PC Hospitalist CurrentSince May 6, 2024 Accepting new patients
The Radiology Group of New Jersey, LLC PastSince Nov 20, 2018 Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

480 Pompton Ave
Ste 6
Cedar Grove, NJ 07009
Phone (973) 239-2300

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

907 Oak Tree Ave
Ste H
South Plainfield, NJ 07080
Phone (908) 222-3500

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

464 Eagle Rock Ave
Ste C
West Orange, NJ 07052
Phone (973) 669-5900

529 Beach 20th St
Far Rockaway, NY 11691
Phone (516) 770-5712

80 N Franklin St
Hempstead, NY 11550
Phone (516) 481-6433

Interoperability endpoints

  • Direct secure messaging: adesuwa.okesanya.1@2983.direct.athenahealth.com
  • Direct secure messaging: aokesanya285414@ahs.direct-ci.com

Organizations & group practices 8

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 11

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1194982579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "718-816-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKESANYA",
        "first_name": "ADESUWA",
        "middle_name": "RUBY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09784700",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA09784700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADESUWA",
            "last_name": "IGHODARO",
            "middle_name": "RUBY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berkeley Heights, NJ

Sources for this page

Verify at the official NPI Registry.