Active NPIIndividual providerSole proprietor

Dr. Samuel B Adegboyega, DPM

Podiatrist, Foot & Ankle Surgery in East Orange, New Jersey

NPI Number1124281233
Practice location
310 Central Ave Ste 102, East Orange, NJ 07018-2838
Fax
732-862-1242
Last updated
November 3, 2020

Samuel Babatunde Adegboyega is a Podiatrist, Foot & Ankle Surgery based in East Orange, NJ. Samuel Babatunde Adegboyega practices in East Orange, NJ and has the professional credentials of DPM. The NPI Number for Samuel Babatunde Adegboyega is 1124281233 and holds a License No. 006368 (NY). The current practice location address for Samuel Babatunde Adegboyega is 310 Central Ave Ste 102, East Orange, NJ 07018-2838 and can be reached out via phone at 973-207-1678 and via fax at 732-862-1242.

Provider Profile Details

NPI Number
1124281233
Provider Name
Samuel Babatunde Adegboyega
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
310 Central Ave Ste 102, East Orange, NJ 07018-2838
Phone Number
973-207-1678
Fax Number
732-862-1242
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
July 8, 2008
Last Update Date
November 3, 2020
Certification Date
November 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
310 Central Ave Ste 102
East Orange, NJ 07018-2838
Zip
07018-2838
Phone Number
973-207-1678
Fax Number
732-862-1242
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
83 Aberdeen RD
Matawan, NJ 07747-2720
City
Matawan
State
NJ
Zip
07747-2720
Phone Number
973-207-1678
Fax Number
732-862-1242

License Information

License Number (1)
006368
License State (1)
NY
Taxonomy (1)
Podiatrist, Foot & Ankle Surgery · 213ES0103X
License Number (2)
25MD00306200
License State (2)
NJ
Taxonomy (2)
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Samuel B Adegboyega, DPM?

The NPI number of Dr. Samuel B Adegboyega, DPM is 1124281233. It was assigned on July 8, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Samuel B Adegboyega, DPM?

Dr. Samuel B Adegboyega, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NY under license number 006368.

Where does Dr. Samuel B Adegboyega, DPM practice?

The practice location is 310 Central Ave Ste 102, East Orange, NJ 07018-2838. The office can be reached at 973-207-1678 (phone) or 732-862-1242 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124281233 directly on the NPPES registry website.

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