Active NPI
Yetunde Orafidiya, MD
- Pediatrics Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301100220
- Practice address
- Room D1205 Medical Professional Building
University of Michigan CS Mott Childrens Hospital
Ann Arbor, MI 48109 - Phone
- (845) 480-6244
- NPI assigned
- May 15, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301100220 | MI | Primary |
Addresses
Primary practice location
Room D1205 Medical Professional Building
University of Michigan CS Mott Childrens Hospital
Ann Arbor, MI 48109
Mailing address
100 Franklin St
Apt C206
Morristown, NJ 07960-5443
Phone (845) 480-6244
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301100220 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Current | Accepting new patients | |
| Valley Physician Services PC | Current | Accepting new patients |
Locations
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
15 Essex Rd
Paramus, NJ 07652
Phone (201) 291-6000
1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1891054599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 FRANKLIN ST",
"address_2": "APT C206",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079605443",
"telephone_number": "845-480-6244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROOM D1205 MEDICAL PROFESSIONAL BUILDING",
"address_2": "UNIVERSITY OF MICHIGAN CS MOTT CHILDRENS HOSPITAL",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48109",
"telephone_number": "845-480-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORAFIDIYA",
"first_name": "YETUNDE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301100220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.