Dr Ayolola O Onayemi, MD | |
7650 River Rd Ste 300, North Bergen, NJ 07047-6527 | |
(201) 710-2715 | |
Not Available |
Full Name | Dr Ayolola O Onayemi |
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Gender | Female |
Speciality | Surgery |
Location | 7650 River Rd Ste 300, North Bergen, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427284041 | NPI | - | NPPES |
LL38508 | Other | SC | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 38508 (South Carolina) | Secondary |
208600000X | Surgery | 25MA10434400 (New Jersey) | Secondary |
208600000X | Surgery | 125060703 (Illinois) | Primary |
Entity Name | Luminis Health Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
Mailing Address | Practice Location Address |
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Dr Ayolola O Onayemi, MD 717 Kingsland Ave, Ridgefield, NJ 07657-1409 Ph: (312) 459-3205 | Dr Ayolola O Onayemi, MD 7650 River Rd Ste 300, North Bergen, NJ 07047-6527 Ph: (201) 710-2715 |
Alan Michael Stephens, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7600 River Rd, North Bergen, NJ 07047 Phone: 201-710-2753 Fax: 201-758-2470 | |
Dr. Adriana I Suarez-ligon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7650 River Rd, North Bergen, NJ 07047 Phone: 732-741-0970 | |
Naeem Patel, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 1209 89th St, North Bergen, NJ 07047 Phone: 201-640-4415 |