Adedeji Richard Adelaja, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

275700 Issued in NY

Practice address

55 N Main St
Freeport, NY 11520-2243

Phone

(516) 377-8014

Fax

(516) 377-8017

NPI assigned

Jul 20, 2011

Last updated

Nov 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jacqueline Delmont MD PCGroup PAC ID 6507762473, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aadelaja81245@direct-chsli.net

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.

• Jacqueline Delmont MD PC

  dba Delmont Medical Care

  • Internal Medicine Physician
  • Freeport, NY
  • NPI 1922050749

  Family Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1417245663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 URBAN AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115903831",
            "telephone_number": "646-243-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N MAIN ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115202243",
            "telephone_number": "516-377-8014",
            "fax_number": "516-377-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELAJA",
        "first_name": "ADEDEJI",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "275700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Achenkutty, PHARMD
• Adam Steven Splaver MD
• Kimberly Adames, MA, CF-SLP, TSSLD-BE
• Chidima B Adams
• Akosua Addo, LPN
• Eric Adler, L.AC.
• Nnenna Agu
• Joseph Kalani Ahlo, DMD
• Miriam Ahmed, MS, MD
• AIDS Day Treatment Facility

• Family Medicine Physician in Freeport, NY
• Providers in Freeport, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.