Active NPIIndividual provider

Adeniyi Fisayo, MD

Psychiatry & Neurology, Neurology in North Haven, Connecticut

NPI Number1164741260
Practice location
6 Devine St, Suite 2B, Yale Neurology, North Haven, CT 06473
Fax
203-737-6375
Last updated
July 17, 2015

Adeniyi Fisayo is a Psychiatry & Neurology, Neurology based in North Haven, CT. Adeniyi Fisayo practices in North Haven, CT and has the professional credentials of MD. The NPI Number for Adeniyi Fisayo is 1164741260 and holds a License No. 071495 (GA). The current practice location address for Adeniyi Fisayo is 6 Devine St, Suite 2B, Yale Neurology, North Haven, CT 06473 and can be reached out via phone at 203-785-5602 and via fax at 203-737-6375.

Provider Profile Details

NPI Number
1164741260
Provider Name
Adeniyi Fisayo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6 Devine St, Suite 2B, Yale Neurology, North Haven, CT 06473
Phone Number
203-785-5602
Fax Number
203-737-6375
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Sole Proprietor
No
Provider Enumeration Date
May 28, 2010
Last Update Date
July 17, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Devine St, Suite 2B
Yale Neurology
North Haven, CT 06473
Zip
06473
Phone Number
203-785-5602
Fax Number
203-737-6375
North Haven, CT 06473Get directions →

Provider Business Mailing Address Details

Address
Po Box 208018
New Haven, CT 06520-8018
City
New Haven
State
CT
Zip
06520-8018
Phone Number
203-785-5602
Fax Number
203-737-6375

License Information

License Number (1)
071495
License State (1)
GA
Taxonomy (1)
Psychiatry & Neurology, Neurology · 2084N0400X
License Number (2)
MD450317
License State (2)
PA
Taxonomy (2)
Psychiatry & Neurology, Neurology · 2084N0400X
License Number (3)
53929
License State (3)
CT
Taxonomy (3)
Psychiatry & Neurology, Neurology · 2084N0400X · 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 Adeniyi Fisayo, MD?

The NPI number of Adeniyi Fisayo, MD is 1164741260. It was assigned on May 28, 2010 and is currently active in the NPPES registry.

What is the specialty of Adeniyi Fisayo, MD?

Adeniyi Fisayo, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in GA under license number 071495.

Where does Adeniyi Fisayo, MD practice?

The practice location is 6 Devine St, Suite 2B, Yale Neurology, North Haven, CT 06473. The office can be reached at 203-785-5602 (phone) or 203-737-6375 (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 1164741260 directly on the NPPES registry website.

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