DR. EMMANUEL ADEKUNLE ADEDOKUN MD
NPI 1417158767
General Practice in Clifton, NJ
About Dr. Emmanuel Adekunle Adedokun Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EMMANUEL ADEKUNLE ADEDOKUN MD (NPI 1417158767) is an individual general practice provider in Clifton, New Jersey, licensed in Michigan (4301102418) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Emmanuel Adekunle Adedokun Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Emmanuel Adedokun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Connecticut, Florida and Michigan enrollments
- 167 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLIFTON, NJ 07013
CLIFTON, NJ 07013
CLIFTON, NJ 07013
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Emmanuel Adedokun's NPI number?
The NPI number for Emmanuel Adedokun is 1417158767. It was assigned to this individual provider in the NPPES registry on May 31, 2007.
Where is Emmanuel Adedokun located?
Emmanuel Adedokun practices at 1135 Broad St Ste 201, Clifton, NJ 07013. The listed phone number is (973) 754-4100.
What is Emmanuel Adedokun's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Emmanuel Adedokun enrolled in Medicare?
Yes. Emmanuel Adedokun is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Emmanuel Adedokun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emmanuel Adedokun reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emmanuel Adedokun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Emmanuel Adedokun accept?
Health plans from CareSource and CareSource (Common Ground Healthcare) list Emmanuel Adedokun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Emmanuel Adedokun was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Emmanuel Adekunle Adedokun, MD · NPI 1417158767
General Practice physician in Clifton, New Jersey. Individual provider, active in the CMS NPPES registry since May 31, 2007.
## Identity
- **NPI:** 1417158767 (Entity type: Individual)
- **Enumerated:** May 31, 2007
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 4301102418 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1135 BROAD ST STE 201, Clifton, NJ 07013-3346
- **Phone:** (973) 754-4100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417158767) · Data from the CMS NPPES public registry.