Abimbola Adebajo

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F339837 Issued in NY

Practice address

301 E Main St
Bay Shore, NY 11706-8408

Phone

(516) 366-9353

NPI assigned

Jul 13, 2015

Last updated

Jul 13, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: abimbola.adebajo.1@24989.direct.athenahealth.com
• Direct secure messaging: abimbola.adebajo@direct.stonybrookmedicine.edu

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.

• Hope Medical Services PC

  • Internal Medicine Physician
  • Middle Village, NY
  • NPI 1265723548
  Medicare reassignment NPD
• University Hospital at Stony Brook

  • General Acute Care Hospital
  • Stony Brook, NY
  • NPI 1972523348
  NPD
• New Age Dermatology PLLC

  • Specialist
  • Middle Village, NY
  • NPI 1245347079
  NPD (past)

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1942684667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 WELLINGTON PARK VILLAS DR",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068408",
            "telephone_number": "516-366-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBAJO",
        "first_name": "ABIMBOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F339837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Acton, PAC
• Ava Anise Adams
• Donna E Adams, DPT, PT, MA, OCS
• James Adams, RPA-C
• Danielle Adamson
• Adenike Idowu Adewale, NP
• Dennis Adjei - Boateng, RN
• Stanley Adler
• Advantage Physical Therapy of Suffolk, P.C. (Advantage Physical Therapy of Suffolk)
• Aniqa Aftabi

• Primary Care Nurse Practitioner in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.

Verify at the official NPI Registry.