Active NPI
Babatunde Adenusi
- Family Nurse Practitioner
- Brookhaven, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP015829
- Practice address
- 435 W Brookhaven Rd
Brookhaven, PA 19015-1801 - Phone
- (610) 499-1849
- NPI assigned
- Jan 21, 2016
- Last updated
- Jan 21, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP015829 | PA | Primary |
Addresses
Primary practice location
435 W Brookhaven Rd
Brookhaven, PA 19015-1801
Mailing address
435 W Brookhaven Rd
Brookhaven, PA 19015-1801
Phone (610) 499-1849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP015829 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients |
Locations
1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561
1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100
1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000
Interoperability endpoints
- adenusi.babaunde.p2@direct.alegiscare.nextgenshare.com
- badenusi2013331@direct.trinity-health.org
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Philadelphia, PA
- NPI 1639056989
-
dba THMA MG Surgical Associates Holme
- Surgery Physician
- Langhorne, PA
- NPI 1972982361
-
- Hospitalist Physician
- Darby, PA
- NPI 1235016593
-
dba Bucks County Geriatrics
- Geriatric Medicine (Internal Medicine) Physician
- Langhorne, PA
- NPI 1013225903
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1639039175
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453334400000",
"number": "1750748729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 W BROOKHAVEN RD",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190151801",
"telephone_number": "610-499-1849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 W BROOKHAVEN RD",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190151801",
"telephone_number": "610-499-1849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADENUSI",
"first_name": "BABATUNDE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-21",
"last_updated": "2016-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP015829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.