Dr. Vivian O Adeyemo, MD
Internal Medicine, Geriatric Medicine in Newark, New Jersey
1316076508- Practice location
- 153 Halsey St Ste 105, Newark, NJ 07102-2828
- Phone
- 973-295-5996
- Fax
- 551-430-5965
- Last updated
- November 6, 2026
Vivian O Adeyemo is an Internal Medicine, Geriatric Medicine based in Newark, NJ. Vivian O Adeyemo practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Vivian O Adeyemo is 1316076508 and holds a License No. 25MA12549600 (NJ). The current practice location address for Vivian O Adeyemo is 153 Halsey St Ste 105, Newark, NJ 07102-2828 and can be reached out via phone at 973-295-5996 and via fax at 551-430-5965.
Provider Profile Details
- NPI Number
- 1316076508
- Provider Name
- Vivian O Adeyemo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 153 Halsey St Ste 105, Newark, NJ 07102-2828
- Phone Number
- 973-295-5996
- Fax Number
- 551-430-5965
- Primary Taxonomy
- Internal Medicine, Geriatric Medicine · 207RG0300X
- Sole Proprietor
- No
- Other Names
- -- Vivian O Diejomaoh, MD (Former Name)
- Provider Enumeration Date
- March 5, 2007
- Last Update Date
- November 6, 2026
- Certification Date
- November 6, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 153 Halsey St Ste 105
Newark, NJ 07102-2828 - City
- Newark
- State
- New Jersey
- Zip
- 07102-2828
- Phone Number
- 973-295-5996
- Fax Number
- 551-430-5965
Provider Business Mailing Address Details
- Address
- 153 Halsey St Ste 105
Newark, NJ 07102-2828 - City
- Newark
- State
- NJ
- Zip
- 07102-2828
- Phone Number
- 973-295-5996
- Fax Number
- 551-430-5965
License Information
- License Number
- 25MA12549600
- License State
- NJ
- Taxonomy
- Internal Medicine, Geriatric Medicine · 207RG0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Vivian O Adeyemo, MD?
The NPI number of Dr. Vivian O Adeyemo, MD is 1316076508. It was assigned on March 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Vivian O Adeyemo, MD?
Dr. Vivian O Adeyemo, MD is registered under the primary taxonomy Internal Medicine, Geriatric Medicine (code 207RG0300X), licensed in NJ under license number 25MA12549600.
Where does Dr. Vivian O Adeyemo, MD practice?
The practice location is 153 Halsey St Ste 105, Newark, NJ 07102-2828. The office can be reached at 973-295-5996 (phone) or 551-430-5965 (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 1316076508 directly on the NPPES registry website.