Organization Active NPI

Aladesawe Enterprises Inc.

Doing business as Leading Edge Medical Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New Port Richey, FL
National Provider Identifier
1790192185
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME112766 Issued in FL
Legal business name
ALADESAWE ENTERPRISES INC.
Doing business as
Leading Edge Medical Center
Practice address
4753 US Highway 19
New Port Richey, FL 34652-4945
Phone
(727) 807-9948
Fax
(727) 807-9950
NPI assigned
Jul 17, 2014
Last updated
Jul 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Dr. Akinwumi Gammal Aladesawe, M.D.NPI 1669664579
Title
Sole Owner
Phone
(813) 368-3387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME112766 FL Primary

Addresses

Primary practice location

4753 US Highway 19
New Port Richey, FL 34652-4945

Mailing address

4753 US Highway 19
New Port Richey, FL 34652-4945
Phone (727) 807-9948

Other names 1

  • Leading Edge Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141203001889 FL Part B Supplier - Clinic/Group Practice 1456673334 Receives reassigned benefits from 1 practitioner
Practice locations: New Port Richey, FL; Tampa, FL

National Provider Directory

National Provider Directory

Locations

4753 US Highway 19
New Port Richey, FL 34652
Phone (727) 807-9948

5411 Grand Blvd
Ste 105
New Port Richey, FL 34652
Phone (727) 807-9948

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1790192185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 US HIGHWAY 19",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524945",
            "telephone_number": "727-807-9948",
            "fax_number": "727-807-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 US HIGHWAY 19",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524945",
            "telephone_number": "727-807-9948",
            "fax_number": "727-807-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALADESAWE ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "ALADESAWE",
        "authorized_official_first_name": "AKINWUMI",
        "authorized_official_middle_name": "GAMMAL",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "813-368-3387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME112766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leading Edge Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.