Adebola Dele-Michael, M.D

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

256265 Issued in NY

Practice address

116 Central Park S Ste 7
New York, NY 10019-1527

Phone

(212) 229-0007

Fax

(212) 202-6350

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Adebola Adeniran Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Rochester School of Medicine and Dentistry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Radiant Skin Dermatology and Laser,PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1861738460
  Medicare reassignment Authorized official
• Abiola Dele-Michael, MD Medicine PLLC

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1396160917
  NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1235250820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 CENTRAL PARK W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246003",
            "telephone_number": "212-229-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CENTRAL PARK S STE 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191527",
            "telephone_number": "212-229-0007",
            "fax_number": "212-202-6350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "446 W 162nd St Lowr Level",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100325349",
            "country_code": "US",
            "telephone_number": "212-229-0007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 W 115th St Lowr Level",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100262965",
            "country_code": "US",
            "telephone_number": "212-229-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELE-MICHAEL",
        "first_name": "ADEBOLA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA08768300",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "256265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADEBOLA",
            "last_name": "ADENIRAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Marie Delbene, LMSW
• Tessa Marie Lopez Delcarmen, MD
• Alison Emily Delcorral, PA-C
• Jennifer Delcorro, OTR/L
• Abiola Olayemi Dele-Michael, MD
• Courtney Deleasa, PH.D.
• Leslie Alison Deleget, MS, ATC
• Christopher W Delehanty, PT
• Ashley Deleo, APRN
• Jena Ann Deleo, RN

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.