Lubunmi Ifabiyi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01269 Issued in NC

Practice address

344 Britton Ave
Staten Island, NY 10304-3428

Phone

(347) 553-0365

NPI assigned

Jun 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lubunmi Fabiyi Former name

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CTD Network LLC

  • Multi-Specialty Clinic/Center
  • Plant City, FL
  • NPI 1851039762

  NC

  Medicare reassignment
• The Radiology Group of New Jersey, LLC

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1497796445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 BRITTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043428",
            "telephone_number": "347-553-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 BRITTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043428",
            "telephone_number": "347-553-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFABIYI",
        "first_name": "LUBUNMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "01269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUBUNMI",
            "last_name": "FABIYI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roseann Idone, M.S., CCC-SLP
• Idonia Luxe LLC
• Joel Akande Idowu, M.D.
• Tiby Iduculla
• Nanine Rhea Iengo Blomstrom
• Helen Ifatusin
• Olamide Ifatusin
• Ife Landsmark
• Chioma Ifeanyi
• Tara Marie Igneri, PA

• Family Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.