Organization Active NPI

Abiola Dele-Michael, MD Medicine PLLC

Doing business as Dele-Michael Cardiovascular Medicine

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1396160917
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
256271 Issued in NY
Legal business name
ABIOLA DELE-MICHAEL, MD MEDICINE PLLC
Doing business as
Dele-Michael Cardiovascular Medicine
Practice address
207 W 115TH St Lowr Level
New York, NY 10026-2965
Phone
(646) 517-8966
NPI assigned
Feb 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Dr. Abiola Dele-Michael, MDNPI 1518084664
Title
President
Phone
(646) 517-8966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 256271 NY Primary

Addresses

Primary practice location

207 W 115TH St Lowr Level
New York, NY 10026-2965

Mailing address

PO Box 1343
New York, NY 10028-0010
Phone (646) 517-8966

Other names 1

  • Dele-Michael Cardiovascular Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150601001196 NY Part B Supplier - Clinic/Group Practice 5597086769 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

116 Central Park S
Ste 7
New York, NY 10019
Phone (212) 229-0007

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1396160917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280010",
            "telephone_number": "646-517-8966",
            "fax_number": "646-490-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 115TH ST LOWR LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262965",
            "telephone_number": "646-517-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIOLA DELE-MICHAEL, MD MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "DELE-MICHAEL",
        "authorized_official_first_name": "ABIOLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-517-8966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "256271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dele-Michael Cardiovascular Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dele-Michael Cardiovascular Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.