Adomfeh Healthcare, PLLC
Organization Active NPI Internal Medicine Physician · Albany, NY
NPI 1497941827 · NPPES record last updated Jun 7, 2025
Key facts
- NPI
- 1497941827
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 207948 (NY)
- Legal business name
- ADOMFEH HEALTHCARE, PLLC
- Practice address
- 634 Western Ave Ste 1
Albany, NY 12203-1821 - Phone
- (518) 482-1988
- Fax
- (518) 482-2153
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Charles N Adomfeh, MD, PHD, FACP
- Title
- President/Physician
- Phone
- (518) 482-1988
Practitioners 1
-
Charles Nyarko Adomfeh, MD, PHD, FACP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080730000726 | NY | Part B Supplier - Clinic/Group Practice | 1759455363 |
Receives reassigned benefits from 1 practitioner Practice locations: Albany, NY |
National Provider Directory
Locations
634 Western Ave
Ste 1
Albany, NY 12203
Phone (518) 482-1988
523 Western Ave
Albany, NY 12203
Phone (518) 482-8111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 207948 | NY | Yes |
Addresses
Primary practice location
634 Western Ave Ste 1
Albany, NY 12203-1821
Mailing address
634 Western Ave Ste 1
Albany, NY 12203-1821
Phone (518) 482-1988
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.