Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417158767 Individual Practitioner Male Practitioner

Dr. Emmanuel Adekunle Adedokun , MD

General Practice • Clifton, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Emmanuel Adedokun, MD is a registered healthcare professional specializing in General Practice in Clifton, NJ. Practice services are available at 1135 BROAD ST STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1135 Broad St Ste 201

Clifton, NJ 070133346

Telephone 9737544100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Clifton, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Clifton, NJ (269 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-21
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MI 4301102418

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License CT 047380

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License MI 4301102418

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Diane Allegra , MD

Family Medicine

NPI 1003869702

Doctor of Medicine (M.D.)

Dr. Michael Butler , MD

Student in an Organized Health Care Education/Training Program

NPI 1124778683

Doctor of Medicine (M.D.)

Dr. Sarosh Daud , MD

Student in an Organized Health Care Education/Training Program

NPI 1235989781

Doctor of Medicine (M.D.)

NPI 1275575110

Doctor of Medicine (M.D.)

Dr. Michael Magera , MD

Psychiatry & Neurology - Psychiatry

NPI 1407899818

Doctor of Medicine (M.D.)

Mariel Felix Baez

Student in an Organized Health Care Education/Training Program

NPI 1508272956

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address June 21, 2024

Registered at 900 LYNN GARDEN DR, KINGSPORT, TN 376652145 (Tel: 9314328691)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2024

Family Medicine (License #047380 in CT)

📍
Updated Business Mailing Address October 14, 2018

Registered at PO BOX 382, KINGSPORT, TN 376620382 (Tel: 9735230061)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2018

Family Medicine (License #4301102418 in MI)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1135 BROAD ST STE 201, CLIFTON, NJ 070133346 (Tel: 9737544100)

📍
Updated Business Mailing Address July 08, 2007

Registered at 100 HOSPITAL PLZ APT 615, PATERSON, NJ 075033052 (Tel: 9735230061)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EMMANUEL ADEDOKUN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417158767
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2007
Last Update: June 21, 2024
Sole Proprietor: No

Mailing Address

900 Lynn Garden Dr

Kingsport, TN 376652145

Phone: 9314328691

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.