Dare I Adeyele, M.D.
Individual provider Active NPI General Practice Physician · Bronx, NY
NPI 1972849560 · NPPES record last updated Dec 31, 2012
Key facts
- NPI
- 1972849560
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 60 267278 (NY)
- Practice address
- 2015 Grand Concourse,
Essen Medical
Bronx, NY 10453-8648 - Phone
- (718) 731-2020
- Fax
- (718) 294-6276
- NPI assigned
- Dec 31, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60 267278 | NY | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 60 267278 | NY | Yes |
Addresses
Primary practice location
2015 Grand Concourse,
Essen Medical
Bronx, NY 10453-8648
Mailing address
8647 164TH St # 31
Jamaica
Jamaica, NY 11432-3450
Phone (718) 288-3332
Other providers in Bronx, NY
- Hajarat Adewole
- Adekunbi Adewolu
- Victoria Adewunmi
- Iyabo Ajoke Adeyanju
- Olufunmilayo Olajumoke Adeyanju
- Hannah Adeyemi
- Oluwaseun John Adeyemi
- Serifat Adeyemi
- Tokunbo O Adeyemi
- Adenike Aderonke Adeyemo
All providers in Bronx, NY · General Practice Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.