ADEDAMOLA FAWOLE
NPI 1669116430
Counselor - Professional in Philadelphia, PA
About Adedamola Fawole NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADEDAMOLA FAWOLE (NPI 1669116430) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC015942) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Adedamola Fawole is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19124
PHILADELPHIA, PA 19124
PHILADELPHIA, PA 19124
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 Adedamola Fawole's NPI number?
The NPI number for Adedamola Fawole is 1669116430. It was assigned to this individual provider in the NPPES registry on April 26, 2022.
Where is Adedamola Fawole located?
Adedamola Fawole practices at 4500 Frankford Ave, Philadelphia, PA 19124. The listed phone number is (215) 831-9882.
What is Adedamola Fawole's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Adedamola Fawole enrolled in Medicare?
Yes. Adedamola Fawole is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Adedamola Fawole was last updated on October 24, 2023. 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.
# Adedamola Fawole · NPI 1669116430
Professional provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 26, 2022.
## Identity
- **NPI:** 1669116430 (Entity type: Individual)
- **Enumerated:** April 26, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC015942 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 FRANKFORD AVE, Philadelphia, PA 19124-3602
- **Phone:** (215) 831-9882
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** October 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669116430) · Data from the CMS NPPES public registry.