ADEYEMI CHRISTANAH ADENIYI (A-GNP) – Primary Care Nurse Practitioner, NPI 1780238659

ADEYEMI CHRISTANAH ADENIYI (A-GNP) is a healthcare provider. based in Dover, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials A-GNP. They hold a License No. AG07190264 (MA). The NPI Number for ADEYEMI CHRISTANAH ADENIYI (A-GNP) is 1780238659

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ADEYEMI CHRISTANAH ADENIYI (A-GNP)
NPI
1780238659
Phone
(973) 328-3344
Address
18 W Blackwell St
Enumeration Date
30 July 2019
Last Update Date
22 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6174428800
Graduation Year
2019 (7 years ago)
PAC ID
6800296153
Group Practice PAC ID
7012810492
Professional Enrollment ID
I20220907000773
Address ID
MA021191208RO45XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for ADEYEMI CHRISTANAH ADENIYI (A-GNP)

  • 18 W Blackwell St

    Dover, NJ 078013841

    Phone: (973) 328-3344

    Type: Location

  • 200, Wilder Street, Highlands, Lowell, Middlesex County, Massachusetts, 01851, United States

    LOWELL, MA 018543057

    Phone: (978) 934-4525

    Fax: (978) 934-2015

    Type: Mailing

  • 18 W BLACKWELL ST

    DOVER, NJ 078013841

    Phone: (973) 328-3344

    Type: Mailing

  • 45 DIMOCK ST

    ROXBURY, MA 021191208

    Phone: (617) 442-8800

    Fax: (617) 541-8472

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2023-08-08 • Largest payer in this snapshot: Exact Sciences Corporation ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220907000773INurse PractitionerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level2922$0
87086Bacterial colony count, urine1616$0
View full utilization report →

Insurance plans in this area (ZIP 07801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012810492View full group profile
NameSpecialtyState
Internal Medicine, Infectious DiseaseMA
Internal Medicine, Pediatric MedicineMA
Physician AssistantMA
Nurse PractitionerMA
O B S T E T R I C S/ G Y N E C O L O G YMA
Nurse PractitionerMA
O P T O M E T R YMA
-MA
Internal MedicineNY
Clinical Social WorkerMA

Reviews

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Frequently asked questions

Where can patients find ADEYEMI CHRISTANAH ADENIYI (A-GNP)'s NPI?
You can confirm ADEYEMI CHRISTANAH ADENIYI (A-GNP) with NPI 1780238659; it appears in the national provider directory.
Is ADEYEMI CHRISTANAH ADENIYI (A-GNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ADEYEMI CHRISTANAH ADENIYI (A-GNP) work in?
You can think of ADEYEMI CHRISTANAH ADENIYI (A-GNP) as practicing within Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for ADEYEMI CHRISTANAH ADENIYI (A-GNP)?
We surface Dover, New Jersey for ADEYEMI CHRISTANAH ADENIYI (A-GNP) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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