Serifat Adeyemi

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

811125 Issued in NY

Practice address

830 E 214TH St
Bronx, NY 10467-5914

Phone

(646) 881-1720

NPI assigned

Oct 14, 2020

Last updated

Apr 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1255939005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E 214TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104675914",
            "telephone_number": "646-881-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E 214TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104675914",
            "telephone_number": "646-881-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYEMI",
        "first_name": "SERIFAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "811125",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "339314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iyabo Ajoke Adeyanju, SPECIAL EDUCATOR
• Olufunmilayo Olajumoke Adeyanju, M.D.
• Dare I Adeyele, M.D.
• Hannah Adeyemi
• Oluwaseun John Adeyemi
• Tokunbo O Adeyemi
• Adenike Aderonke Adeyemo, MD
• Cecilia Adeyinka
• Temilola E. Adeyinka, FNP
• Anwar Adhami

• Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.