Individual provider Active NPI

Olorunfemi Emmanuel Ajikan, M.B.B.S

  • General Practice Physician
  • Bronx, NY
National Provider Identifier
1508527946
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
P113301 Issued in NY
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P113301NYMDGeneral Practice Physician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X P113301 NY Primary

Addresses

NPPES NPI Registry

Primary 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 Professional name

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

Verify at the official NPI Registry.