Agboade Ademiju

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

595738 Issued in NY

Practice address

900 Intervale Ave,
Archcare, Bronx
Bronx, NY 10459

Phone

(718) 732-7171

NPI assigned

Mar 7, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1457711277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 MACON ST",
            "address_2": "APT 4R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112331673",
            "telephone_number": "234-307-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 INTERVALE AVE,",
            "address_2": "ARCHCARE, BRONX",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10459",
            "telephone_number": "718-732-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEMIJU",
        "first_name": "AGBOADE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "595738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Adeleke, LPN
• Michael Adeleye
• Marc R Adelsberg, PH.D.
• Stanley Adelsberg, PT
• Yara Adely
• Nadeje Ademiju
• Mary Oluwaseun Ademola, LMSW
• Kelani Oladepo Adeniji
• Lovelace Folake Adeniseun
• Ayoade O. Adeniyi, M.D.

• All providers in Bronx, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.