Active NPI
Moronkeji Olapade Fagbemi, M.D
- Addiction Medicine (Internal Medicine) Physician
- Valley Stream, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 207287
- Practice address
- 3 Albert CT
Valley Stream, NY 11580-4944 - Phone
- (516) 285-5683
- Fax
- (516) 285-1226
- NPI assigned
- Nov 28, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 207287 | NY | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 207287 | NY | Primary |
Addresses
Primary practice location
3 Albert CT
Valley Stream, NY 11580-4944
Mailing address
3 Albert CT
Valley Stream, NY 11580-4944
Phone (516) 285-5683
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02073027 | Medicaid | NY | |
| 207287 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 Grand Concourse
Bronx, NY 10457-7606
Phone (718) 992-7669
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Current | Accepting new patients | |
| Bronxcare Health System | Internal Medicine | Current | Accepting new patients |
| Bronxcare Health System | Current | Accepting new patients | |
| Bronxcare Health System | Past | Accepting new patients | |
| Valley Stream Medical PC | Past | Accepting new patients |
Locations
1276 Fulton Ave
#208
Bronx, NY 10456
Phone (718) 901-8911
1276 Fulton Ave
Rm 206
Bronx, NY 10456
Phone (718) 901-8918
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1245390855
-
- Legal Medicine
- Valley Stream, NY
- NPI 1801954680
-
- Psychiatry Physician
- Bronx, NY
- NPI 1073806519
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1417027558
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1417027558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1306913371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 ALBERT CT",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115804944",
"telephone_number": "516-285-5683",
"fax_number": "516-285-1226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ALBERT CT",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115804944",
"telephone_number": "516-285-5683",
"fax_number": "516-285-1226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAGBEMI",
"first_name": "MORONKEJI",
"middle_name": "OLAPADE",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "207287",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "NY",
"license": "207287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02073027",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "207287",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.