Active NPIIndividual provider

Dr. Emmanuel A Adedokun, MD

General Practice in Clifton, New Jersey

NPI Number1417158767
Practice location
1135 Broad St Ste 201, Clifton, NJ 07013-3346
Fax
—
Last updated
June 21, 2024

Emmanuel Adekunle Adedokun is a General Practice based in Clifton, NJ. Emmanuel Adekunle Adedokun practices in Clifton, NJ and has the professional credentials of MD. The NPI Number for Emmanuel Adekunle Adedokun is 1417158767 and holds a License No. 047380 (CT). The current practice location address for Emmanuel Adekunle Adedokun is 1135 Broad St Ste 201, Clifton, NJ 07013-3346 and can be reached out via phone at 973-754-4100.

Provider Profile Details

NPI Number
1417158767
Provider Name
Emmanuel Adekunle Adedokun
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1135 Broad St Ste 201, Clifton, NJ 07013-3346
Phone Number
973-754-4100
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
No
Provider Enumeration Date
May 31, 2007
Last Update Date
June 21, 2024
Certification Date
June 21, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1135 Broad St Ste 201
Clifton, NJ 07013-3346
Zip
07013-3346
Phone Number
973-754-4100
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
900 Lynn Garden Dr
Kingsport, TN 37665-2145
City
Kingsport
State
TN
Zip
37665-2145
Phone Number
931-432-8691

License Information

License Number (1)
047380
License State (1)
CT
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
4301102418
License State (2)
MI
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (4)
4301102418
License State (4)
MI
Taxonomy (4)
General Practice · 208D00000X · 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. Emmanuel A Adedokun, MD?

The NPI number of Dr. Emmanuel A Adedokun, MD is 1417158767. It was assigned on May 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Emmanuel A Adedokun, MD?

Dr. Emmanuel A Adedokun, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in CT under license number 047380.

Where does Dr. Emmanuel A Adedokun, MD practice?

The practice location is 1135 Broad St Ste 201, Clifton, NJ 07013-3346. The office can be reached at 973-754-4100 (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 1417158767 directly on the NPPES registry website.

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