Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adetokunbo Obayemi Jr., MD

Individual provider Otolaryngology Physician · NPI 1205217965

Adetokunbo Obayemi Jr., MD is a Plastic and Reconstructive Surgery in Syracuse, New York. Qualified in 2016, 10 years ago. Practices with University Otolaryngology Associates of Central New York, LLP, a 17-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2015
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

750 E Adams Street Cwb Rm 251
Syracuse, NY 13210
Phone: (201) 431-5751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence 308888 (NY)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 308888 (NY)
Surgery Physician Taxonomy 208600000X · Licence 308888 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205217965
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2015
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice University Otolaryngology Associates Of Central New York, Llp — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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