Vivian O Adeyemo, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

237524 Issued in NY

Practice address

3000 Marcus Ave Ste 2W15
New Hyde Park, NY 11042-1005

Phone

(855) 201-4988

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vivian O Diejomaoh 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: vadeyemo@landmarkhealth-direct.org

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1316076508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271-11 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401433",
            "telephone_number": "718-289-2280",
            "fax_number": "718-289-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARCUS AVE STE 2W15",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421005",
            "telephone_number": "855-201-4988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27111 76th Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401436",
            "country_code": "US",
            "telephone_number": "718-289-2280",
            "fax_number": "718-289-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEYEMO",
        "first_name": "VIVIAN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "237524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "DIEJOMAOH",
            "middle_name": "O",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vincent Michael Adamo, D.C.
• Karthryn Adams, SW
• Reya Adams, FNP-BC
• Olamide Adejumo, MBCHB; M.S
• Andrew Adesman, MD
• Yael Adhami, DDS
• Shraddha Kartikey Adhvaryu, BDS MDS DDS
• Angela Diane Adimando, RN, MSN, PNP
• Michael Edward Adler, MD
• Philip A Adler, MD

• Geriatric Medicine (Internal Medicine) Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.