NPIMap

Organization Active NPI

Cityblock Ipa Ny, LLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1407719339
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CITYBLOCK IPA NY, LLC
Practice address
1259 Bedford Ave
Brooklyn, NY 11216-1813
Phone
(833) 904-2273
NPI assigned
Dec 8, 2025
Last updated
Dec 8, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CITYBLOCK HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Oluwatoyin Ajayi, MDNPI 1790912426
Title
Ceo, Cityblock Health, Inc.
Phone
(347) 463-5529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1259 Bedford Ave
Brooklyn, NY 11216-1813

Mailing address

495 Flatbush Ave
Brooklyn, NY 11225-3706

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1407719339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161813",
            "telephone_number": "833-904-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYBLOCK IPA NY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITYBLOCK HEALTH, INC.",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "OLUWATOYIN",
        "authorized_official_title_or_position": "CEO, CITYBLOCK HEALTH, INC.",
        "authorized_official_telephone_number": "347-463-5529",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.