Active NPI
Akintayo Oluwatosin Akinlawon, MD,MPH
- Psychiatry Physician
- Bath, NY
National Provider Identifier
1477572758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01053638A
- Practice address
- 76 Veterans Avenue
Bath, NY 14810 - Phone
- (607) 664-4306
- Fax
- (607) 664-4320
- NPI assigned
- Jul 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01053638A | IN | Primary |
Addresses
Primary practice location
76 Veterans Avenue
Bath, NY 14810
Mailing address
4 Jay Allen Drive
Painted Post, NY 14870
Phone (607) 936-4042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AV4731217AA6 | Other | VETERAN AFFAIRS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01053638A | IN | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477572758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 JAY ALLEN DRIVE",
"city": "PAINTED POST",
"state": "NY",
"postal_code": "14870",
"telephone_number": "607-936-4042",
"fax_number": "607-936-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 VETERANS AVENUE",
"city": "BATH",
"state": "NY",
"postal_code": "14810",
"telephone_number": "607-664-4306",
"fax_number": "607-664-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINLAWON",
"first_name": "AKINTAYO",
"middle_name": "OLUWATOSIN",
"name_prefix": "Dr.",
"credential": "MD,MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01053638A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VETERAN AFFAIRS NUMBER",
"identifier": "AV4731217AA6",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bath, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.