Active NPI
Olorunfemi Emmanuel Ajikan, M.B.B.S
- General Practice Physician
- Bronx, NY
National Provider Identifier
1508527946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- P113301
- Practice address
- 2700 Eastchester Rd
Bronx, NY 10469-5923 - Phone
- (201) 419-3335
- NPI assigned
- Jan 7, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P113301 | NY | MD | General Practice Physician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | P113301 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2700 Eastchester Rd
Bronx, NY 10469-5923
Mailing address
1371 Seabury Ave
Bronx, NY 10461-3651
Phone (201) 419-3335
Other names 1
NPPES NPI Registry- Not Applicable Not Applicable Not Applicable
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2022.
{
"created_epoch": "1641513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1508527946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1371 SEABURY AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104613651",
"telephone_number": "201-419-3335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 EASTCHESTER RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104695923",
"telephone_number": "201-419-3335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJIKAN",
"first_name": "OLORUNFEMI",
"middle_name": "EMMANUEL",
"name_prefix": "Dr.",
"credential": "M.B.B.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-07",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "P113301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NOT APPLICABLE",
"last_name": "NOT APPLICABLE",
"middle_name": "NOT APPLICABLE",
"credential": "M.B.B.S",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.