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

Nelson Sofoluke, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962938092

Nelson Sofoluke, MD is a Neurosurgery in Syracuse, New York. Qualified in 2017, 9 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Pennsylvania.

Years since qualifying
9
Licensed in
GA, PA
In the registry since
2017
Specialties on file
3
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 St
Syracuse, NY 13210-2306
Phone: (315) 464-6361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 100906 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Neurological Surgery Physician Taxonomy 207T00000X · Licence MT214685 (PA)

Record details

NPI number1962938092
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 10, 2017
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024
Mailing address750 E Adams St, Syracuse, NY 13210-2306

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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