| Doctor Name: | MR. ANTHONY A ADEYINKA |
| NPI Number: | 1023409117 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 26NJ00534200 |
| Business Practice Address: | Harborside Financial Center, Plaza 10 Suite 803 Jersey City, NJ - 07311 |
| Business Phone Number: | 9732024290 |
| Business Fax Number: | 9737624140 |
| Mailing Address: | 54 Fernwood Rd, MAPLEWOOD |
| State: | NJ |
| Postal Code: | 070401622 |
| Phone Number: | 9732024290 |
| Fax Number: | 9737624140 |
| NPI Enumeration Date: | 02/10/2015 |
| NPI Last Update Date: | 02/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00534200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |