Active NPI
Aladesawe Enterprises Inc.
Doing business as Leading Edge Medical Center
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- New Port Richey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- ME112766
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- New Port Richey, FL
- NPI 1669664579
-
- Pediatrics Physician
- Naples, FL
- NPI 1417004045
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.