Ajibola Adedayo, M.D.
Individual provider Active NPI Interventional Cardiology Physician · Brooklyn, NY
NPI 1376969469 · NPPES record last updated Sep 23, 2022
Key facts
- NPI
- 1376969469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 285687 (NY)
- Practice address
- 1545 Atlantic Ave
Brooklyn, NY 11213 - Phone
- (718) 613-4000
- Fax
- (718) 613-4897
- NPI assigned
- Mar 13, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Interfaith Professional Physician Services PC
Practice addresses (Care Compare)
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000
Hospital & facility affiliations
- Brookdale Hospital Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171025000419 | NY | Practitioner - Interventional Cardiology |
9335415025 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285687 | NY | MD | Licensed Practical Nurse |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interfaith Professional Physician Services, P.C. | Internal Medicine | Current |
Accepting new patients |
| The Brookdale Hospital Medical Center | Current |
Accepting new patients | |
| Interfaith Emergency Medicine, P.C. | Current | Accepting new patients | |
| Brookdale Hospital Medical Center | Current |
Accepting new patients | |
| The Brookdale Hospital Medical Center | Past | Accepting new patients |
Locations
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
528 Prospect Pl
Brooklyn, NY 11238
Phone (718) 613-6800
1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- aadedayo1050261@nychhc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 285687 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 285687 | NY | |
| Interventional Cardiology Physician | 207RI0011X | 285687 | NY | Yes |
Addresses
Primary practice location
1545 Atlantic Ave
Brooklyn, NY 11213
Mailing address
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000
Other providers in Brooklyn, NY
- Akinola Adebisi
- Victoria Adebiyi
- Ajibola Adebiyyi
- Funke Adebo
- Zaccheaus Adedara
- Kikelomo Adedayo
- Lara Adedayo
- Adedeji Adegbamigbe Jr.
- Bolanle Kudiratu Adegoke
- Adelaju Ruth Adegunle
All providers in Brooklyn, NY · Interventional Cardiology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.