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ADEOLA O AYODEJI MD
NPI 1689660201
Pediatrics in Newburgh, NY

Active since September 20, 2005PECOS Enrolled
147 LAKE STREET, NEWBURGH, NY 12550(845) 563-8000(845) 563-8096 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2016, Mar 14, 2016 (2 updates tracked since 2016).

About Adeola O Ayodeji Md NPPES

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

ADEOLA O AYODEJI MD (NPI 1689660201) is an individual pediatrics provider in Newburgh, New York, licensed in New York (241089-1) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689660201
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameADEOLA O AYODEJICredential: MD
Location Address147 LAKE STREETNewburgh, NY 12550-5242
Mailing Address2570 Route 9w, Suite 10Cornwall, NY 12518-1323 · (845) 220-3100 · Fax (845) 534-2940
Phone(845) 563-8000
Fax(845) 563-8096
Sole ProprietorNo
Enumeration DateSeptember 20, 2005
Last NPPES UpdateSeptember 30, 20162 updates tracked since enumeration
✔ NPI 1689660201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NY · 241089-1✔ Licensed in NY · 001909✔ Licensed in NY · 241089
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
147 LAKE STREET, Newburgh, NY 12550
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Other Identifiers 1

Medicaid02796367NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adeola O Ayodeji 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.

Medicare Billing Reassignment

Medicare enrollment records show Adeola Ayodeji reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornerstone Family Healthcare
Same address
Federally Qualified Health Center (FQHC)
147 LAKE STREET
Newburgh, NY 12550
  • Reassigned Medicare billing, New York enrollment
  • 84 clinicians in this Medicare group
NPI 1689669079 (845) 563-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12550 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
Most-billed visit code 99214
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 6

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

DR. RICHARD P HERMAN DDS
Dentist (General Practice)
147 LAKE STREET
NEWBURGH, NY 12550
Orange County (845) 563-8000
HEMLATA JANELLE CARR N.P.
Specialist
147 LAKE STREET
NEWBURGH, NY 12550
Orange County (845) 563-8000
DR. MUKAI HEATHER JARAVAZA M.D.
Pediatrics
147 LAKE STREET, GREATER HUDSON VALLEY FAMILY HEALTH CENT
NEWBURGH, NY 12550
Orange County (845) 563-8000
NEHA SOOD M.D.
Obstetrics & Gynecology
147 LAKE STREET
NEWBURGH, NY 12550
Orange County (845) 563-8000
CORNERSTONE FAMILY HEALTHCARE
Clinic/Center (Federally Qualified Health Center (FQHC))
147 LAKE STREET
NEWBURGH, NY 12550
Orange County (845) 563-8000
SANDY V RIVERA LCSW
Social Worker (Clinical)
147 LAKE STREET
NEWBURGH, NY 12550
Orange County (845) 563-8000

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 Adeola Ayodeji's NPI number?

The NPI number for Adeola Ayodeji is 1689660201. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Adeola Ayodeji located?

Adeola Ayodeji practices at 147 Lake Street, Newburgh, NY 12550. The listed phone number is (845) 563-8000.

What is Adeola Ayodeji's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Adeola Ayodeji enrolled in Medicare?

Yes. Adeola Ayodeji is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adeola Ayodeji's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adeola Ayodeji reassigns Medicare benefits to Cornerstone Family Healthcare (Newburgh, NY). 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 Adeola Ayodeji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Adeola Ayodeji was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.