Active NPI
Adekunle Vincent Kiladejo, M.D
- Cardiovascular Disease Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA10869000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10869000 | NJ | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fayette Physician Network Inc | Cardiovascular Disease | Current | Accepting new patients |
| Rapides Regional Physician Group Specialty Care, LLC | Current | Accepting new patients | |
| Mulkay Cardiology Consultants at Holy Name Medical Center, PC | Cardiovascular Disease | Current | Accepting new patients |
| Fayette Physician Network Inc | Current | 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.
-
- Specialist
- Alexandria, LA
- NPI 1043309016
-
- Cardiovascular Disease Physician
- Hackensack, NJ
- NPI 1366878019
-
- Family Medicine Physician
- Friendsville, MD
- NPI 1437823044
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Rapides Regional Medical Center
- General Acute Care Hospital
- Alexandria, LA
- NPI 1477500015
-
dba HP Long Urgent Care-Pineville
- Multi-Specialty Clinic/Center
- Pineville, LA
- NPI 1083031413
Hospital
-
dba HP Long Urgent Care Clinic-Alexandria
- Urgent Care Clinic/Center
- Alexandria, LA
- NPI 1477970168
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.