Active NPI
Adeniyi Oluwadare Aina, PT
- Physical Therapist
- Irvington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01256300
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01256300 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Physical Therapy and Rehabilitation Service PC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Irvington, NJ
- NPI 1194973917
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Wayne, NJ
- NPI 1154068401
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.