ADEJOKE MELODY JOHNSON
NPI 1629703723
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Adejoke Johnson's NPI number?

The NPI number for Adejoke Johnson is 1629703723. It was assigned to this individual provider in the NPPES registry on July 21, 2022.

Q: What is Adejoke Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Adejoke Johnson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 21, 2022PECOS EnrolledAccepts Medicare Assignment

3424 KOSSUTH AVE, BRONX, NY 10467(718) 519-3817 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Adejoke Melody Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADEJOKE MELODY JOHNSON (NPI 1629703723) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629703723

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameADEJOKE MELODY JOHNSON

Location Address3424 KOSSUTH AVEBronx, NY 10467-2489

Mailing Address2763 Morris Ave Apt 204Bronx, NY 10468-2843 · (773) 629-9818

Phone(718) 519-3817

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 21, 2022

NPPES CertifiedJuly 21, 2022

✔ NPI 1629703723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3424 KOSSUTH AVE, Bronx, NY 10467

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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 and accepts Medicare assignment

Adejoke Melody Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810402492

PECOS Enrollment IDI20250714001042

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger Medical Center

Acute Care Hospitals · Danville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390006

Location100 North Academy AvenueDanville, PA 17822 · Montour County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PERVEZ ALI RPH

Pharmacist