Mojisola Gladys Ukabi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

62160 Issued in CT

Practice address

401 Federal Rd
Brookfield, CT 06804-2037

Phone

(203) 775-6365

Fax

(203) 740-3010

NPI assigned

Jun 26, 2009

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

• Mojisola Gladys Ukabi Former name

Medicare fee-for-service enrollment

Enrolled in CT

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

Practice roles

Interoperability endpoints

• Direct secure messaging: mojisola.ukabi.p1@direct.wheelerclinic.nextgenshare.com

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.

• Wheeler Clinic Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plainville, CT
  • NPI 1396750840
  Medicare reassignment
• Southbury Medical Associates, LLP

  • Internal Medicine Physician
  • Southbury, CT
  • NPI 1407984222
  NPD (past)

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1629206743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 AVALON WAY",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821661",
            "telephone_number": "713-213-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 FEDERAL RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042037",
            "telephone_number": "203-775-6365",
            "fax_number": "203-740-3010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 Lakewood Rd",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067045408",
            "country_code": "US",
            "telephone_number": "860-793-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UKABI",
        "first_name": "MOJISOLA",
        "middle_name": "GLADYS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "62160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOJISOLA",
            "last_name": "UKABI",
            "middle_name": "GLADYS",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janet Townley, NUTRITION COUNSELOR
• Steve Trimandilis
• Altagracia Trinidad, LPC
• Trinity Counseling Services
• Turrill Drug Inc (Brookfield Pharmacy)
• Urgent Care Medical Associates, LLC
• Urgent Care of Brookfield, LLC
• Urgent Care of Waterbury, LLC
• Fiorita Valentino, LAC, LMT, RYT, RM-T
• Jessica Valsamis

• Family Medicine Physician in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; 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.