Gbolahan Olawole Okubadejo, MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

25MA08442500 Issued in NJ

Practice address

25 Rockwood PL Ste 335
Englewood, NJ 07631-4959

Phone

(877) 854-8274

Fax

(201) 947-0850

NPI assigned

Aug 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 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

Specialty

Orthopedic Surgery

Education

Johns Hopkins University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118
• Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
• Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• New Jersey Institute for Comprehensive Spine Care LLC

  • Orthopaedic Surgery of the Spine Physician
  • Englewood, NJ
  • NPI 1831467596

  NY

  Medicare reassignment NPD
• Palisades Surgical Suites, LLC

  • Surgery Physician
  • Fort Lee, NJ
  • NPI 1699475368
  NPD
• Premier Medical of NJ

  • Cardiovascular Disease Physician
  • Clifton, NJ
  • NPI 1316724263
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Name Hospital Regional Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Teaneck, NJ
  • NPI 1043389349

  Hospital

  Care Compare affiliation
• Holy Name Medical Center Inc.

  • General Acute Care Hospital
  • Teaneck, NJ
  • NPI 1104859131
  Care Compare affiliation
• Jersey City Medical Center

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1689744856
  Care Compare affiliation
• Jersey City Medical Center

  • Ambulance
  • Jersey City, NJ
  • NPI 1871738021

  Hospital

  Care Compare affiliation
• Njmhmc, LLC

  • General Acute Care Hospital
  • Secaucus, NJ
  • NPI 1710491253
  Care Compare affiliation

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1497947022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PL STE 335",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314959",
            "telephone_number": "877-854-8274",
            "fax_number": "201-947-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PL STE 335",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314959",
            "telephone_number": "877-854-8274",
            "fax_number": "201-947-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUBADEJO",
        "first_name": "GBOLAHAN",
        "middle_name": "OLAWOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "2632421",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "PA",
            "license": "MT190347",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "25MA08442500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Odomirok, MS CCC-SLP
• Oe Spine, Inc
• Ofis Labs Inc.
• Kristin L Ognibene
• Brandon Andrew Oks, DDS, MD
• Oleg Kaim, M.D., P.C.
• Eva Olivares, LCSW
• Efrain Oliveras, APN
• Viktoria Olowski
• Michael Angela Omongos, MD

• Orthopaedic Surgery of the Spine Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Orthopaedic Surgery of the Spine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.

Verify at the official NPI Registry.