Individual provider Active NPI

Adejoke Abolade Babalola, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Fair Lawn, NJ
National Provider Identifier
1003051285
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006283-1 Issued in NY
Practice address
15-01 Pollitt Dr
Ste 8B
Fair Lawn, NJ 07410-2769
Phone
(917) 291-6966
Fax
(917) 508-4815
NPI assigned
Dec 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006283-1 NY Primary

Addresses

Primary practice location

15-01 Pollitt Dr
Ste 8B
Fair Lawn, NJ 07410-2769

Mailing address

11546 Mexico St
Saint Albans, NY 11412-2647
Phone (718) 470-2879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090324000122 NY Practitioner - Podiatry 8527125343 Reassigns benefits to 1 organization
I20220725000531 NJ Practitioner - Podiatry 8527125343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 -01 Pollitt Dr
Suite 8B
Fair Lawn, NJ 07410-2769
Phone (917) 291-6966

184 E 70TH St
Suite B1
New York, NY 10021-5154
Phone (917) 291-6966

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue15
Removal of skin lesions1-10
Removal of nail tissue47
Removal or shaving of skin growth15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Feet Podiatry P.C. Foot & Ankle Surgery PastSince Apr 8, 2002 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1003051285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11546 MEXICO ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122647",
            "telephone_number": "718-470-2879",
            "fax_number": "718-470-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 POLLITT DR",
            "address_2": "STE 8B",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102769",
            "telephone_number": "917-291-6966",
            "fax_number": "917-508-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABALOLA",
        "first_name": "ADEJOKE",
        "middle_name": "ABOLADE",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006283-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.