Active NPIIndividual providerSole proprietor

Adeboye A Adeniran

Physical Therapy Assistant in Newark, New Jersey

NPI Number1346650835
Practice location
110 Somerset Street, Apt 3A, Newark, NJ 07108
Fax
—
Last updated
May 6, 2014

Adeboye Adeoye Adeniran is a Physical Therapy Assistant based in Newark, NJ. Adeboye Adeoye Adeniran practices in Newark, NJ. The NPI Number for Adeboye Adeoye Adeniran is 1346650835 and holds a License No. 40QB00279400 (NJ). The current practice location address for Adeboye Adeoye Adeniran is 110 Somerset Street, Apt 3A, Newark, NJ 07108 and can be reached out via phone at 973-517-4679.

Provider Profile Details

NPI Number
1346650835
Provider Name
Adeboye Adeoye Adeniran
Provider Entity Type
Individual
Gender
Male
Address
110 Somerset Street, Apt 3A, Newark, NJ 07108
Phone Number
973-517-4679
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
May 6, 2014
Last Update Date
May 6, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Somerset Street
Apt 3A
Newark, NJ 07108
City
Newark
Zip
07108
Phone Number
973-517-4679
Newark, NJ 07108Get directions →

Provider Business Mailing Address Details

Address
110 Somerset St Apt 3A
Newark, NJ 07108-2948
City
Newark
State
NJ
Zip
07108-2948
Phone Number
973-517-4679

License Information

License Number
40QB00279400
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Adeboye A Adeniran?

The NPI number of Adeboye A Adeniran is 1346650835. It was assigned on May 6, 2014 and is currently active in the NPPES registry.

What is the specialty of Adeboye A Adeniran?

Adeboye A Adeniran is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00279400.

Where does Adeboye A Adeniran practice?

The practice location is 110 Somerset Street, Apt 3A, Newark, NJ 07108. The office can be reached at 973-517-4679 (phone).

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 1346650835 directly on the NPPES registry website.

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