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

Adeyemi Christanah Adeniyi, A-GNP

Individual provider Nurse Practitioner · NPI 1780238659

Adeyemi Christanah Adeniyi, A-GNP is a Nurse Practitioner in Roxbury, Massachusetts. Qualified in 2019, 7 years ago. Practices with Dimock Community Health Center, Inc, a 44-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

45 Dimock St
Roxbury, MA 02119-1208
Phone: (617) 442-8800
Fax: (617) 541-8472
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18 W Blackwell St, Dover, NJ 07801-3841 — (973) 328-3344

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence RN2310738 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence AG07190264 (MA)

Record details

NPI number1780238659
Entity typeIndividual (Type 1)
GenderFemale
Credentials A-GNP
Sole proprietorNo
NPI enumeratedJuly 30, 2019
Last updated in NPPESAugust 22, 2022
Certification dateAugust 22, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dimock Community Health Center, Inc. — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Roxbury