GLENN ADESOJI
NPI 1699555706
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since October 05, 2023PECOS Enrolled
3500 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-3656 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2024, Oct 5, 2023 (2 updates tracked since 2023).

About Glenn Adesoji NPPES

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

GLENN ADESOJI (NPI 1699555706) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1699555706
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGLENN ADESOJI
Location Address3500 N BROAD STPhiladelphia, PA 19140-4106
Mailing Address3500 N Broad StPhiladelphia, PA 19140-4106
Sole ProprietorNo
Enumeration DateOctober 5, 2023
Last NPPES UpdateApril 1, 20242 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
NPI 1699555706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
3500 N BROAD ST, Philadelphia, PA 19140

Secondary Practice Location 1

Location 12401 W Belvedere AveBaltimore, MD 21215-5216 · Phone (410) 601-9000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Glenn Adesoji 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 20

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

Obstetrics & Gynecology
3500 N BROAD ST
PHILADELPHIA, PA 19140
Student in an Organized Health Care Education/Training Program
3500 N BROAD ST
PHILADELPHIA, PA 19140
Student in an Organized Health Care Education/Training Program
3500 N BROAD ST
PHILADELPHIA, PA 19140
Student in an Organized Health Care Education/Training Program
3500 N BROAD ST
PHILADELPHIA, PA 19140
Student in an Organized Health Care Education/Training Program
3500 N BROAD ST
PHILADELPHIA, PA 19140
Student in an Organized Health Care Education/Training Program
3500 N BROAD ST
PHILADELPHIA, PA 19140
Physician Assistant
3500 N BROAD ST
PHILADELPHIA, PA 19140
Student in an Organized Health Care Education/Training Program
3500 N BROAD ST
PHILADELPHIA, PA 19140

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 Glenn Adesoji's NPI number?

The NPI number for Glenn Adesoji is 1699555706. It was assigned to this individual provider in the NPPES registry on October 5, 2023.

Where is Glenn Adesoji located?

Glenn Adesoji practices at 3500 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-3656.

What is Glenn Adesoji's specialty?

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

Is Glenn Adesoji enrolled in Medicare?

Yes. Glenn Adesoji is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glenn Adesoji was last updated on April 1, 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.