Individual provider Active NPI

Oladapo Michael Babatunde, M.D.

  • Orthopaedic Surgery Physician
  • East Rutherford, NJ
National Provider Identifier
1083857593
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
272792 Issued in NY
Practice address
196 Paterson Ave Ste 3-300
East Rutherford, NJ 07073-1841
Phone
(201) 500-9450
Fax
(201) 500-9451
NPI assigned
Apr 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 272792 NY Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 272792 NY

Addresses

Primary practice location

196 Paterson Ave Ste 3-300
East Rutherford, NJ 07073-1841

Mailing address

196 Paterson Ave Ste 3-300
East Rutherford, NJ 07073-1841
Phone (201) 500-9450

Other practice location 1

59 Main St Ste 201
West Orange, NJ 07052-5333
Phone (973) 447-3525

Other practice location 2

51 E 25th St Fl 6
New York, NY 10010-8207
Phone (212) 433-2662

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150501001529 NY Practitioner - Orthopedic Surgery 2163741729 Reassigns benefits to 1 organization
I20191112001915 NJ Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2163741729 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Perelman School of Med at the University of Pennsylvania, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Orthopaedics and Sports Medicine LLCGroup PAC ID 9931531084, 3 clinicians
St Marys General Medical Group PCGroup PAC ID 5496112476, 73 clinicians

Practice addresses (Care Compare)

196 Paterson Ave
Suite 302
East Rutherford, NJ 07073-1841
Phone (201) 500-9450

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

630 Broad St
Suite 3 300
Carlstadt, NJ 07072-1169

Hospital & facility affiliations

  • St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
272792NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys General Medical Group PC CurrentSince Jul 1, 2023 Accepting new patients
City Motion Orthopaedics PLLC Orthopaedic Surgery Current Accepting new patients
SMGH Physician Practice Management, LLC CurrentSince Aug 1, 2020 Accepting new patients
Medalliance Medical Health Services Inc CurrentSince Sep 21, 2015 Accepting new patients
The Painless Center LLC PastSince Aug 19, 2019 Accepting new patients
Bronxcare Health System Past Accepting new patients

Locations

1033 Clifton Ave
Clifton, NJ 07013
Phone (973) 473-5700

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

42 Locust Ave
Ste 1
Wallington, NJ 07057
Phone (973) 472-2912

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

51 E 25th St
Fl 6
New York, NY 10010
Phone (212) 813-3199

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1083857593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 PATERSON AVE STE 3-300",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731841",
            "telephone_number": "201-500-9450",
            "fax_number": "201-500-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 PATERSON AVE STE 3-300",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731841",
            "telephone_number": "201-500-9450",
            "fax_number": "201-500-9451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070525333",
            "country_code": "US",
            "telephone_number": "973-447-3525",
            "fax_number": "201-500-9451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 E 25th St Fl 6",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100108207",
            "country_code": "US",
            "telephone_number": "212-433-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABATUNDE",
        "first_name": "OLADAPO",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "272792",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "272792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.