Individual provider Active NPI

Adeniyi Oluwadare Aina, PT

  • Physical Therapist
  • Irvington, NJ
National Provider Identifier
1700053733
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01256300 Issued in NJ
Practice address
34 Union Ave
Irvington, NJ 07111-3219
Phone
(862) 881-3797
Fax
(862) 772-3793
NPI assigned
May 8, 2008
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01256300 NJ Primary

Addresses

Primary practice location

34 Union Ave
Irvington, NJ 07111-3219

Mailing address

34 Union Ave
Irvington, NJ 07111-3219
Phone (862) 881-3797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090312000586 NJ Practitioner - Physical Therapist in Private Practice 8325104557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34 Union Ave
Irvington, NJ 07111-3219

964 Sanford Ave
Irvington, NJ 07111-1474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01256300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Physical Therapy and Rehabilitation Service PC Physical Therapist CurrentSince Oct 9, 2008 Accepting new patients
Cura Medical Group LLC Past Accepting new patients

Locations

34 Union Ave
Irvington, NJ 07111
Phone (551) 358-7382

34 Union Ave
Fl 1
Irvington, NJ 07111
Phone (862) 772-3797

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1700053733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 UNION AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113219",
            "telephone_number": "862-881-3797",
            "fax_number": "862-772-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 UNION AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113219",
            "telephone_number": "862-881-3797",
            "fax_number": "862-772-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AINA",
        "first_name": "ADENIYI",
        "middle_name": "OLUWADARE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01256300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.