Gbolahan O. Okubadejo, M.D PC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

GBOLAHAN O. OKUBADEJO, M.D PC

Practice address

32 Marquis CT
Edgewater, NJ 07020-2900

Phone

(877) 854-8274

NPI assigned

Mar 29, 2019

Last updated

Mar 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary M. Legg

Title

Credentialing Manager

Phone

(347) 584-8903

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1164983268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MARQUIS CT",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070202900",
            "telephone_number": "877-854-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MARQUIS CT",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070202900",
            "telephone_number": "877-854-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBOLAHAN O. OKUBADEJO, M.D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "LEGG",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "347-584-8903"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amira Haany Gabra, PHYSICIAN ASSISTANT
• Susan Galperin, LCSW
• Carina Garcia Torrado, LCSW
• Amaury A Garcia, NP
• Alexander Garger, M.D.
• Corinne Jeanette Gehegan, DPM
• Genesis Rehab Services
• Jennifer Egle Gentile
• Sam George, PHARMD
• Andrew Glatzer, PHD,LCSW

• Orthopaedic Surgery of the Spine Physician in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• Orthopaedic Surgery of the Spine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.