ADEREMI SOYOMBO M.D.
NPI 1649437856
Internal Medicine - Cardiovascular Disease in Fair Lawn, NJ

Active since May 16, 2008PECOS Enrolled
22-18 BROADWAY, SUITE 201, FAIR LAWN, NJ 07410(201) 475-5050(201) 475-5522 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Aderemi Soyombo M.d. NPPES

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

ADEREMI SOYOMBO M.D. (NPI 1649437856) is an individual cardiovascular disease provider in Fair Lawn, New Jersey, licensed in New Jersey (25MA08557600) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649437856
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameADEREMI SOYOMBOCredential: M.D.
Location Address22-18 BROADWAY, SUITE 201Fair Lawn, NJ 07410-3016
Mailing Address22-18 Broadway, Suite 201Fair Lawn, NJ 07410-3016 · (201) 475-5050 · Fax (201) 475-5522
Fax(201) 475-5522
Sole ProprietorNo
Enumeration DateMay 16, 2008
Last NPPES UpdateSeptember 17, 2012
NPI 1649437856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · 25MA08557600
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

22-18 BROADWAY, Fair Lawn, NJ 07410

Other Identifiers 2

Medicaid0207021NJ
Medicare PIN160841NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Aderemi Soyombo M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Chiropractor
22-18 BROADWAY, SUITE 101 A
FAIR LAWN, NJ 07410
Pharmacist
22-18 BROADWAY, RETAIL STORE #5
FAIR LAWN, NJ 07410
Clinic/Center (Multi-Specialty)
22-18 BROADWAY
FAIR LAWN, NJ 07410
Pharmacist
22-18 BROADWAY, RETAIL STORE #5
FAIR LAWN, NJ 07410
Clinic/Center (Sleep Disorder Diagnostic)
22-18 BROADWAY, SUITE 103
FAIR LAWN, NJ 07410
Specialist
22-18 BROADWAY, SUITE 104
FAIR LAWN, NJ 07410
Specialist
22-18 BROADWAY, SUITE 104
FAIR LAWN, NJ 07410
Family Medicine
22-18 BROADWAY
FAIR LAWN, NJ 07410

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649437856, enumerated as an "individual" on May 16, 2008.

The provider is located at 22-18 BROADWAY SUITE 201 FAIR LAWN, NJ 07410 and the phone number is (201) 475-5050.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.