Olufunmilayo Olajumoke Adeyanju, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

BA9939250 Issued in NY

Practice address

675 Nereid Ave
Optimum Family Medicine PC
Bronx, NY 10470-1514

Phone

(718) 655-7777

NPI assigned

Jun 6, 2006

Last updated

May 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Family Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ICJGAA
• FHIR API: https://fhir4.healow.com/fhir/r4/ICJGAA/Endpoint/ICJGAA

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

• Optimum Family Medicine P.C

  • Clinic/Center
  • Bronx, NY
  • NPI 1609952043
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1689613564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 NEREID AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701514",
            "telephone_number": "718-655-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 NEREID AVE",
            "address_2": "OPTIMUM FAMILY MEDICINE PC",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701514",
            "telephone_number": "718-655-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYANJU",
        "first_name": "OLUFUNMILAYO",
        "middle_name": "OLAJUMOKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA079357200",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "BA9939250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baraqat Adewole
• Hajarat Adewole
• Adekunbi Adewolu
• Victoria Adewunmi
• Iyabo Ajoke Adeyanju, SPECIAL EDUCATOR
• Dare I Adeyele, M.D.
• Hannah Adeyemi
• Oluwaseun John Adeyemi
• Serifat Adeyemi
• Tokunbo O Adeyemi

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.

Verify at the official NPI Registry.