Individual provider Active NPI

Adekunle Najeem Tijani

  • Registered Nurse
  • East Orange, NJ
National Provider Identifier
1740797950
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
738818 Issued in NY
Practice address
56 S Munn Ave Apt 5E
East Orange, NJ 07018-3627
Phone
(862) 452-6941
NPI assigned
Jan 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 738818 NY Primary

Addresses

Primary practice location

56 S Munn Ave Apt 5E
East Orange, NJ 07018-3627

Mailing address

56 S Munn Ave Apt 5E
East Orange, NJ 07018-3627
Phone (862) 452-6941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
738818NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1740797950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 S MUNN AVE APT 5E",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183627",
            "telephone_number": "862-452-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 S MUNN AVE APT 5E",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183627",
            "telephone_number": "862-452-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIJANI",
        "first_name": "ADEKUNLE",
        "middle_name": "NAJEEM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "738818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.