DR. EMMANUEL ADEKUNLE ADEDOKUN MD NPI 1417158767

NPI Information

  • NPI: 1417158767
  • Provider Name: DR. EMMANUEL ADEKUNLE ADEDOKUN, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1135 BROAD ST STE 201
    CLIFTON, NJ
    ZIP 07013
  • Phone: (973) 754-4100

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NPI Details

DR. Emmanuel Adekunle Adedokun, MD is a general practice in Clifton, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Emmanuel Adekunle Adedokun, MD NPI is 1417158767. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1135 BROAD ST STE 201
CLIFTON, NJ
ZIP 07013-346
Phone: (973) 754-4100

The NPI 1417158767 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 6/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine047380CONNECTICUTNo
2207Q00000XFamily Medicine4301102418MICHIGANNo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4208D00000XGeneral Practice4301102418MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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