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

Deena Adimoolam, MD

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1619110228

Deena Adimoolam, MD is an Endocrinology in New York, New York. Qualified in 2005, 21 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2009
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

1111 Amsterdam Ave Babcock 10th Fl
New York, NY 10025
Phone: (212) 523-8672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19-21 Fair Lawn Ave, Fair Lawn, NJ 07410-2331 — (201) 620-3390

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 268704 (NY)

Record details

NPI number1619110228
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 13, 2009
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021

Medicare enrollment

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

Medicare specialtyENDOCRINOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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