Adeniyi Ogunkoya, MD

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

MA41628 Issued in NJ

Practice address

964 Sanford Avenue
Irvington, NJ 07111

Phone

(973) 371-9050

Fax

(973) 371-2593

NPI assigned

Sep 28, 2006

Last updated

Feb 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Internal MedicineAlso: Allergy/Immunology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002
• Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009
• Silver Lake Hospital Ltach Long-term care hospital, Newark, NJ, CCN 312024

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope Physical Therapy and Rehabilitation Service PC

  • Physical Therapy Clinic/Center
  • Irvington, NJ
  • NPI 1194973917
  NPD (past)
• Newark Beth Israel Medical Center Inc

  dba Newark Beth Israel Medical Center

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966
  NPD (past)

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

• Clara Maass Medical Center

  • General Acute Care Hospital
  • Belleville, NJ
  • NPI 1902901333
  Care Compare affiliation
• Columbus Hospital Ltach LLC

  dba Silver Lake Hospital LTACH

  • Long Term Care Hospital
  • Newark, NJ
  • NPI 1104144641

  Long-term care hospital

  Care Compare affiliation
• Columbus Hospital Ltach LLC

  • Long Term Care Hospital
  • Newark, NJ
  • NPI 1508203878

  Long-term care hospital

  Care Compare affiliation
• Newark Beth Israel Medical Center Inc

  dba Newark Beth Israel Medical Center

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966
  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1356432678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 SANFORD AVENUE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-371-9050",
            "fax_number": "973-371-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 SANFORD AVENUE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-371-9050",
            "fax_number": "973-371-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNKOYA",
        "first_name": "ADENIYI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA41628",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NJ",
            "license": "MA41628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Mogere Nyamwembe, APN
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• Peter E Obi, PHARMD
• Desmond Okechukwu Obiefuna Sr.
• Meshack Owuor Odawo
• Nkem Okafor
• Anthony Okeke
• Jackson A Okoya, MD
• Godfrey Okpala, LPN
• Chibuzor Oku

• Allergy & Immunology (Internal Medicine) Physician in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Allergy & Immunology (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.