BABATUNDE ADENUSI (NPI# 1750748729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750748729 |
| Entity Type | Individual |
| Full Name | BABATUNDE ADENUSI |
| Practice Address |
435 W Brookhaven Rd Brookhaven PA 19015-1801 |
| Practice Telephone | 6104991849 |
| Mailing Telephone | 6104991849 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP015829 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
435 W BROOKHAVEN RD |
| City | BROOKHAVEN |
| State | PA |
| Zip Code | 19015-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262614 | Hometown Rx Services | Pharmacy | 3406 Edgmont Avenue, Suite B, Brookhaven, PA 19015 | 2020-07-14 |
| 1932650926 | Giant Food Stores LLC | Durable Medical Equipment & Medical Supplies | 4930 Edgemont Ave, Brookhaven, PA 19015 | 2016-10-14 |
| 1982009254 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 225 Upland Road, Brookhaven, PA 19015 | 2014-10-29 |
| 1790959633 | Darlene M Longstreth | Massage Therapist | 3766 Susan Lane, Kinderssage, Brookhaven, PA 19015 | 2008-04-22 |
| 1538205463 | Scott Thomas Steltz | Pharmacist | 601 Upland Ave Suite 112, Steltec Pharmacy - Crozier Mills Enterprise Center, Upland, PA 19015 | 2007-01-29 |
| 1083769327 | Parkside Fire Company | Ambulance | 107 West Roland, Parkside, PA 19015 | 2007-01-25 |
| 1295894699 | Elizabeth Katherine Deegan | Counselor | 4928 Shepard St., Brookhaven, PA 19015 | 2006-12-08 |
| 1013093244 | Jeffrey Keith Rosen | Family Medicine | 100 East Brookhaven Rd, Brookhaven, PA 19015 | 2006-10-31 |
| 1013015726 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3298 Edgemont Ave, Brookhaven, PA 19015 | 2006-09-20 |
| 1285743187 | Micheal A Erbicella | Dentist | 3213 Edgmont Ave, Brookhaven, PA 19015 | 2006-08-30 |
| Find all providers in zip 19015 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946018 | Jacob Warren Spring | Nurse Practitioner | 414 Hardy Ln, Brookhaven, MS 39601-4046 | 2020-09-09 |
| 1306464425 | Mollie Maria Bowman | Nurse Practitioner | 2165 Prestwick Ct Ne, Brookhaven, GA 30319-4083 | 2020-07-07 |
| 1013534478 | Candace Laird Duckworth | Nurse Practitioner | 1578 Shanna Ln Nw, Brookhaven, MS 39601-4420 | 2020-07-01 |
| 1265825962 | Leah Smith Mcgehee | Nurse Practitioner | 201 Highway 51 N Ste A, Brookhaven, MS 39601-2653 | 2015-03-05 |
| 1598011090 | Carolyn Sandra Hayes-dozier | Nurse Practitioner | 1616 Powell Rd, Brookhaven, PA 19015-1934 | 2012-08-02 |
| 1215297239 | Lorraine Claudia Blagman | Nurse Practitioner | 4021 Woodworth Rd, Brookhaven, PA 19015-1913 | 2012-05-23 |
| 1386658763 | Catherine W. Knott | Nurse Practitioner | 950 Brookman Blvd, Brookhaven, MS 39601 | 2006-07-28 |
| 1689659864 | Brookhaven Anesthesia & Pain Management | Nurse Practitioner | 1024 D A Biglane Dr, Brookhaven, MS 39601-2331 | 2005-12-12 |
| 1679107692 | Tucker Lee Brady | Nurse Practitioner | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2020-02-28 |
| 1699339200 | Jodie Lynette Sartin | Nurse Practitioner | 1007 W Congress St, Brookhaven, MS 39601-2603 | 2019-04-29 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 19015 |
Please comment or provide details below to improve the information on BABATUNDE ADENUSI.
| 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.