Active NPIIndividual provider

Dr. Adedamola M Adeboye, MD

Internal Medicine, Nephrology in West Orange, New Jersey

NPI Number1972997146
Practice location
111 Northfield Ave Ste 311, West Orange, NJ 07052-4703
Fax
—
Last updated
April 14, 2020

Adedamola Moji Adeboye is an Internal Medicine, Nephrology based in West Orange, NJ. Adedamola Moji Adeboye practices in West Orange, NJ and has the professional credentials of MD. The NPI Number for Adedamola Moji Adeboye is 1972997146 and holds a License No. 25MA10310300 (NJ). The current practice location address for Adedamola Moji Adeboye is 111 Northfield Ave Ste 311, West Orange, NJ 07052-4703 and can be reached out via phone at 973-325-2103.

Provider Profile Details

NPI Number
1972997146
Provider Name
Adedamola Moji Adeboye
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
111 Northfield Ave Ste 311, West Orange, NJ 07052-4703
Phone Number
973-325-2103
Primary Taxonomy
Internal Medicine, Nephrology · 207RN0300X
Sole Proprietor
No
Other Names
Dr. Adedamola Moji Okunola, MD (Former Name)
Provider Enumeration Date
March 25, 2015
Last Update Date
April 14, 2020
Certification Date
April 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Northfield Ave Ste 311
West Orange, NJ 07052-4703
Zip
07052-4703
Phone Number
973-325-2103
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
111 Northfield Ave Ste 311
West Orange, NJ 07052-4703
City
West Orange
State
NJ
Zip
07052-4703
Phone Number
973-325-2103

License Information

License Number
25MA10310300
License State
NJ
Taxonomy
Internal Medicine, Nephrology · 207RN0300X · 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. Adedamola M Adeboye, MD?

The NPI number of Dr. Adedamola M Adeboye, MD is 1972997146. It was assigned on March 25, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Adedamola M Adeboye, MD?

Dr. Adedamola M Adeboye, MD is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in NJ under license number 25MA10310300.

Where does Dr. Adedamola M Adeboye, MD practice?

The practice location is 111 Northfield Ave Ste 311, West Orange, NJ 07052-4703. The office can be reached at 973-325-2103 (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 1972997146 directly on the NPPES registry website.

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