DR. VIVIAN O ADEYEMO (NPI# 1316076508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316076508 |
| Entity Type | Individual |
| Full Name | DR. VIVIAN O ADEYEMO |
| Other Name | VIVIAN O DIEJOMAOH |
| Credential | M.D. |
| Practice Address |
3000 Marcus Ave Ste 2w15 New Hyde Park NY 11042-1005 |
| Mailing Address |
271-11 76th Ave New Hyde Park NY 11040-1433 |
| Practice Telephone | 8552014988 |
| Mailing Telephone | 7182892280 |
| Mailing Fax Number | 7182892345 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
237524 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 27111 76th Ave, New Hyde Park, NY 110401436 | 7182892280 | 7182892345 |
| Street Address |
3000 MARCUS AVE STE 2W15 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336126606 | Ingenai Francis | Physician Assistant | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2005-12-28 |
| 1386257558 | Elizabeth Villanyi | Dietitian, Registered | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2020-08-27 |
| 1699393579 | Irma Diasamidze | Nurse Practitioner | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2020-07-08 |
| 1124503669 | Boahen Owusu Kwakye | Family Medicine | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2018-10-01 |
| 1801301197 | Stella Goldgisser | Nurse Practitioner | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2017-12-07 |
| 1821533761 | Evelyn Filpo | Clinical Nurse Specialist | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2017-01-02 |
| 1467901165 | Hannah Grace Rush | Nurse Practitioner | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2016-09-23 |
| 1437605664 | Olamide Tubi | Nurse Practitioner | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2016-08-28 |
| 1164975801 | Guillermo Diaz | Nurse Practitioner | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2016-07-29 |
| 1174987697 | Hsin-ju Lee | Nurse Practitioner | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2016-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962044396 | Shafi S Rana | Internal Medicine | 504 Hillside Blvd, New Hyde Park, NY 11040-2912 | 2019-10-17 |
| 1558422964 | Pushpendra Sharma | Internal Medicine | 1660 New Hyde Park Rd, New Hyde Park, NY 11040-3210 | 2006-12-12 |
| 1649666520 | Gabriela Solis | Internal Medicine | 410 Lakeville Rd Ste 200, New Hyde Park, NY 11042-1103 | 2015-04-08 |
| 1871834788 | Jinny J Caldentey | Internal Medicine | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2013-03-04 |
| 1558568584 | Kiranjit Kaur | Internal Medicine | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2007-07-02 |
| 1558424911 | Yuvaraj Ram Manda | Internal Medicine | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2006-12-18 |
| 1598834863 | James Lolis | Internal Medicine | 2800 Marcus Ave, New Hyde Park, NY 11042-1008 | 2006-11-08 |
| 1043389315 | Howard Guzik | Internal Medicine | 2800 Marcus Ave, New Hyde Park, NY 11042-1008 | 2006-11-08 |
| 1235214669 | Bernadette Nadira Agard-henriques | Internal Medicine | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2006-10-25 |
| 1013000272 | Gisele Wolf-klein | Internal Medicine | 2800 Marcus Ave, Suite 200, New Hyde Park, NY 11042-1008 | 2006-10-02 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.