Adekunle Adeoti, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA61244 Issued in NJ

Practice address

277 Coit St
Irvington, NJ 07111-4013

Phone

(973) 676-1920

Fax

(973) 373-0510

NPI assigned

Mar 14, 2006

Last updated

Oct 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

GastroenterologyAlso: Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Michael's Medical Center Hospital, Newark, NJ, CCN 310096
• Carewell Health Medical Center Hospital, East Orange, NJ, CCN 310083
• Alliance Care Rehabilitation and Nursing Center Nursing home, Irvington, NJ, CCN 315359

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kuman Inc

  dba New Hope Behavioral Health Center

  • Adult Mental Health Clinic/Center
  • Irvington, NJ
  • NPI 1114140050
  Authorized official Same address or phone
• Kuman Inc

  dba New Hope Adolescent Health Center

  • Adolescent and Children Mental Health Clinic/Center
  • Irvington, NJ
  • NPI 1467665141
  Authorized official Same address or phone
• Barron Emergency Physicians LLC

  • Emergency Medicine Physician
  • Manahawkin, NJ
  • NPI 1790736940
  NPD (past)
• Hogarth Emergency Physicians

  • Emergency Medicine Physician
  • Newton, NJ
  • NPI 1770532343
  NPD (past)
• Tidal Emergency Physicians LLC

  • Emergency Medicine Physician
  • Neptune, NJ
  • NPI 1649222407
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eoh Acquisition Group, LLC

  dba CareWell Health Medical Center

  • General Acute Care Hospital
  • East Orange, NJ
  • NPI 1013386143
  Care Compare affiliation
• Essex Garden Group LLC

  dba Alliance Care Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Irvington, NJ
  • NPI 1861152613

  Nursing home

  Care Compare affiliation
• Prime Healthcare Services - St Michaels LLC

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1568825545
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318636800000",
    "number": "1740259639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 COIT ST",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071114105",
            "telephone_number": "973-676-1920",
            "fax_number": "973-373-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 COIT ST",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071114013",
            "telephone_number": "973-676-1920",
            "fax_number": "973-373-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEOTI",
        "first_name": "ADEKUNLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA61244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6381103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A&M Pharmacy Department (Value Zone Pharmacy Department)
• Christiana Abara
• Maged F Abdelmalak
• Mustafa Shakir Abdus-Salaam, MHS-C, LCADC, LPC
• Adepeju I Adaramola
• Olusegun Bola Adeyemo
• Ehimwenma Adeyin, ED.S
• Michael Osas Adeyin, MA, EDS
• Victoria Adeyinka
• Priscilla D Adu-Antoh, LPC

• Specialist in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; 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.