Individual provider Active NPI

Adekunle Vincent Kiladejo, M.D

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1467748335
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA10869000 Issued in NJ
Practice address
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone
(718) 270-6324
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 25MA10869000 NJ
Cardiovascular Disease Physician 207RC0000X 25MA10869000 NJ Primary

Addresses

Primary practice location

450 Clarkson Ave
Brooklyn, NY 11203-2012

Mailing address

493 Essex St
Hackensack, NJ 07601-1215
Phone (718) 270-6324

Other practice location 1

9500 Euclid Ave
NA 23
Cleveland, OH 44195-0001
Phone (216) 444-5690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, LA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211102000776 NJ Practitioner - Interventional Cardiology 1951522275 Reassigns benefits to 1 organization
I20250228000730 PA Practitioner - Internal Medicine 1951522275 Reassigns benefits to 1 organization
I20260212002960 LA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 1951522275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology), Interventional Cardiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapides Regional Physician Group, Specialty Care, LLCGroup PAC ID 3375646466, 41 clinicians

Practice addresses (Care Compare)

201 4TH St
Alexandria, LA 71301-8421
Phone (318) 442-8698

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10869000NJMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fayette Physician Network Inc Cardiovascular Disease CurrentSince Jan 21, 2025 Accepting new patients
Rapides Regional Physician Group Specialty Care, LLC CurrentSince Feb 15, 2026 Accepting new patients
Mulkay Cardiology Consultants at Holy Name Medical Center, PC Cardiovascular Disease CurrentSince Nov 15, 2021 Accepting new patients
Fayette Physician Network Inc CurrentSince Jan 21, 2025 Accepting new patients

Locations

501 Medical Center Dr
Ste 1A
Alexandria, LA 71301
Phone (318) 442-5800

201 4th St
Ste 4A
Alexandria, LA 71301
Phone (318) 442-8698

493 Essex St
Hackensack, NJ 07601
Phone (201) 996-9244

3 University Plz
Ste 205
Hackensack, NJ 07601

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

529 39th St
Union City, NJ 07087
Phone (201) 601-0900

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

Organizations & group practices 4

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467748335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 ESSEX ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011215",
            "telephone_number": "718-270-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-6324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave",
            "address_2": "NA 23",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-444-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILADEJO",
        "first_name": "ADEKUNLE",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA10869000",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA10869000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.