Olutope O Ayodeji, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA08752700 Issued in NJ

Practice address

625 Broadway
1St Floor
Paterson, NJ 07514-1977

Phone

(973) 523-1102

NPI assigned

May 24, 2007

Last updated

Feb 29, 2012By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Eastside Pediatrics LLC

  • Pediatrics Physician
  • Paterson, NJ
  • NPI 1982905626
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1972714004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BROADWAY",
            "address_2": "1ST FLOOR",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BROADWAY",
            "address_2": "1ST FLOOR",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141977",
            "telephone_number": "973-523-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYODEJI",
        "first_name": "OLUTOPE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08752700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nevine Awad
• Safwat M Awad, M.D.
• Adam Awari, DC
• Sharon Awasthi, MD
• Evelyn Ayala
• Yusuf A Azeez, MS, RD
• Sherif Azer, PA-C
• Wael Azer Aziz Azer, D.O.
• Meritte Aziz
• Moh'D Hazem Azzam

• Pediatrics Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.