MICHAEL OMOBOLAJI AKINYEMI (NPI# 1639305923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639305923 |
Entity Type | Individual |
Full Name | MICHAEL OMOBOLAJI AKINYEMI |
Other Name | BOLAJI M OYAWUSI |
Credential | MD |
Practice Address |
1600 Haddon Ave Camden NJ 08103-3101 |
Mailing Address |
1201 Grampian Blvd Williamsport PA 17701-1900 |
Practice Telephone | 8567573500 |
Mailing Telephone | 5703268723 |
Mailing Fax Number | 5703268922 |
Enumeration Date | 2009-06-01 |
Last Update Date | 2019-04-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD457987 | PA | Allopathic & Osteopathic Physicians |
Street Address |
1600 HADDON AVE |
City | CAMDEN |
State | NJ |
Zip Code | 08103-3101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851399455 | Christina M Lamonica | Specialist | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2005-07-08 |
1992306781 | Eric Rayburn | Nurse Practitioner | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-11-06 |
1508476177 | Georgeanne V Stilley | Clinical Nurse Specialist | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-08-07 |
1871125013 | Vanessa Lynn Klemas | Specialist/Technologist, Other | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-02-05 |
1457991903 | Idan Waksman | Physician Assistant | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-01-13 |
1154964716 | Jaclyn Palmisano | Nurse Practitioner | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-10-25 |
1538702642 | David Shaw | Anesthesiology | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-10-21 |
1215588462 | Victoria Clark | Advanced Practice Midwife | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-09-27 |
1215401120 | Lindsay Szczerbinski | Nurse Anesthetist, Certified Registered | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-01-14 |
1366919789 | Kassandre King | Nurse Anesthetist, Certified Registered | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2018-10-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
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Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841799707 | Southern Pain and Regenerative Medicine PC | Radiology | 176 Briarwood St Ste B, Camden, TN 38320-1456 | 2018-02-06 |
1265852198 | Tekchand Ramchand | Radiology | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2014-04-18 |
1356633861 | Michael Hsu | Radiology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2011-05-03 |
1558689430 | Joshua Saul Chern | Radiology | 1 Cooper Plz, Suite B23, Camden, NJ 08103 | 2010-05-17 |
1841492873 | Douglas Tsai | Radiology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2007-06-01 |
1295941896 | Cmc Department of Medicine | Radiology | 1 Cooper Plz, Vascular Center, Camden, NJ 08103-1461 | 2007-05-14 |
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1023631215 | K&h Medical-nj LLC | Radiology | 100 Wood Ave S Ste 110, Iselin, NJ 08830-2716 | 2020-05-21 |
1528625613 | Mvc Clinical Practice - Nj PC | Radiology | 83 Hanover Rd Ste 260, Florham Park, NJ 07932-1520 | 2019-05-23 |
1255899704 | Pulse Vascular, LLC | Radiology | 1051 W Sherman Ave Unit 4, Vineland, NJ 08360-6931 | 2019-03-04 |
1881159572 | Onsite Vascular Group Corporation | Radiology | Grosso Office Park, 50 Us Highway 9 North, Suite 102, Morganville, NJ 07751 | 2019-02-06 |
1578072385 | Allied Healthcare Diagnostics | Radiology | 560 60th Street, Suite A, West New York, NJ 07093 | 2017-09-25 |
1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
1790127736 | Judith Karen Weinstein | Radiology | 713 Haddon Ave, Collingswood, NJ 08108-3711 | 2013-07-18 |
1962716480 | Benjamin Lingshaw Yam | Radiology | 38 Oak St Ste 5a, Ridgewood, NJ 07450-3875 | 2010-07-27 |
1629226428 | New Jersey Interventional Associates, LLC | Radiology | 1050 Galloping Hill Rd Ste 102, Union, NJ 07083-7980 | 2008-09-04 |
1932201613 | Jay H. Schwartz | Radiology | 1750 Zion Rd Ste 106, Northfield, NJ 08225-1844 | 2006-09-02 |
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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.