DR. EMMANUEL ADEKUNLE ADEDOKUN MD
NPI 1417158767
General Practice in Clifton, NJ

Q: 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.

Q: What is Emmanuel Adedokun's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: 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.

Active since May 31, 2007PECOS Enrolled

1135 BROAD ST STE 201, CLIFTON, NJ 07013(973) 754-4100 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2024, Oct 14, 2018 (2 updates tracked since 2018).

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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

NPI1417158767

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. EMMANUEL ADEKUNLE ADEDOKUNCredential: MD

Location Address1135 BROAD ST STE 201Clifton, NJ 07013-3346

Mailing Address900 Lynn Garden DrKingsport, TN 37665-2145 · (931) 432-8691

Phone(973) 754-4100

Sole ProprietorNo

Enumeration DateMay 31, 2007

Last NPPES UpdateJune 21, 20242 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1417158767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MI · 4301102418

Definition

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

Also ListedFamily MedicineTaxonomy 207Q00000X · License 047380 (CT), 4301102418 (MI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1135 BROAD ST STE 201, Clifton, NJ 07013

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emmanuel Adekunle Adedokun Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. BIJAL S SHETH MD

Family Medicine