Individual provider Active NPI

Olayemi Ajayi, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Harrisburg, PA
National Provider Identifier
1477970556
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD453053 Issued in PA
Practice address
111 S Front St
Harrisburg, PA 17101-2010
Phone
(347) 257-6544
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0082605 MD
Neonatal-Perinatal Medicine Physician 2080N0001X D0082605 MD
Neonatal-Perinatal Medicine Physician 2080N0001X MD453053 PA Primary

Addresses

Primary practice location

111 S Front St
Harrisburg, PA 17101-2010

Mailing address

107 Carneliard CT
Pikesville, MD 21208-3342
Phone (347) 257-6544

Other names 1

  • Olayemi Oluwaseun Ola Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 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
I20170824001483 MD Practitioner - Pediatric Medicine 3072812163 Reassigns benefits to 2 organizations
I20231212000862 PA Practitioner - Pediatric Medicine 3072812163 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0082605MDMDPediatrics Physician
MD453053PAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Feb 18, 2018 Accepting new patients
Scranton Quincy Clinic Company LLC CurrentSince Jan 2, 2024 Accepting new patients
Scranton Quincy Clinic Company LLC Pediatrics CurrentSince Jan 2, 2024 Accepting new patients
University of Maryland Pediatric Associates, PA Pediatrics CurrentSince Aug 1, 2017 Accepting new patients
University of Maryland Pediatric Associates, PA Pediatrics CurrentSince Aug 1, 2017 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Feb 18, 2018 Accepting new patients
Wilkes-Barre Clinic Company LLC Past Accepting new patients
Scranton Hospital Company LLC Past Accepting new patients
Dimensions Health Corporation Past Accepting new patients

Locations

22 S Greene St
Fl 5
Baltimore, MD 21201
Phone (410) 328-5887

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

Interoperability endpoints

  • Direct secure messaging: oola103642@direct.umm.edu

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1477970556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CARNELIARD CT",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083342",
            "telephone_number": "347-257-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012010",
            "telephone_number": "347-257-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "OLAYEMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0082605",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MD",
            "license": "D0082605",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PA",
            "license": "MD453053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLAYEMI",
            "last_name": "OLA",
            "middle_name": "OLUWASEUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.