Active NPI
Omolabake O Bankole, M.D.
- Family Medicine Physician
- Robbinsville, NJ
National Provider Identifier
1447697834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA10038200
- Practice address
- 2330 Route 33
Robbinsville, NJ 08691-1430 - Phone
- (609) 303-4400
- Fax
- (609) 303-4401
- NPI assigned
- May 27, 2013
- Last updated
- Apr 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA10038200 | NJ | Primary |
Addresses
Primary practice location
2330 Route 33
Robbinsville, NJ 08691-1430
Mailing address
2330 Route 33
Robbinsville, NJ 08691-1430
Phone (609) 303-4400
Other practice location 1
2627 Riverside Ave
Jacksonville, FL 32204-4712
Phone (904) 308-7372
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | omolabake.bankole.1@12833.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4244
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.91 of 100
- Quality
- 79.42
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10038200 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Health Medical Group | Family Medicine | Current | Accepting new patients |
Locations
3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661
1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000
1700 Nottingham Way
Ste 108
Trenton, NJ 08619
Phone (609) 303-4870
Interoperability endpoints
- https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
- omolabake.bankole.1@12833.direct.athenahealth.com
Organizations & group practices 1
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.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Capital Health Medical Center - Hopewell
- General Acute Care Hospital
- Pennington, NJ
- NPI 1073516183
-
- Home Health Agency
- Bordentown, NJ
- NPI 1336575919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1447697834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 ROUTE 33",
"city": "ROBBINSVILLE",
"state": "NJ",
"postal_code": "086911430",
"telephone_number": "609-303-4400",
"fax_number": "609-303-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 ROUTE 33",
"city": "ROBBINSVILLE",
"state": "NJ",
"postal_code": "086911430",
"telephone_number": "609-303-4400",
"fax_number": "609-303-4401"
}
],
"practiceLocations": [
{
"address_1": "2627 Riverside Ave",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322044712",
"country_code": "US",
"telephone_number": "904-308-7372",
"fax_number": "904-308-2908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANKOLE",
"first_name": "OMOLABAKE",
"middle_name": "O",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-27",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA10038200",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "omolabake.bankole.1@12833.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2330 Route 33",
"city": "Robbinsville",
"state": "NJ",
"country_code": "US",
"postal_code": "086911430",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Robbinsville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.