Active NPI
Roger D Ajluni MD PC
- Primary Care Clinic/Center
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 4301082209
- Legal business name
- ROGER D AJLUNI MD PC
- Practice address
- 17920 Farmington Rd
Livonia, MI 48152-3104 - Phone
- (734) 425-5200
- Fax
- (734) 425-7755
- NPI assigned
- Jan 12, 2009
- Last updated
- Jan 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roger David Ajluni Jr., M.D.
- Title
- Owner
- Phone
- (734) 425-5200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 4301082209 | MI | Primary |
Addresses
Primary practice location
17920 Farmington Rd
Livonia, MI 48152-3104
Mailing address
17920 Farmington Rd
Livonia, MI 48152-3104
Phone (734) 425-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0875443 | Roger D Ajluni MD PC | Certificate of waiver | May 31, 2028 |
National Provider Directory
National Provider DirectoryLocations
17920 Farmington Rd
Livonia, MI 48152
Phone (734) 425-5200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Livonia, MI
- NPI 1760439145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231718400000",
"number": "1669619748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17920 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481523104",
"telephone_number": "734-425-5200",
"fax_number": "734-425-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17920 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481523104",
"telephone_number": "734-425-5200",
"fax_number": "734-425-7755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGER D AJLUNI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-12",
"last_updated": "2009-01-12",
"status": "A",
"authorized_official_last_name": "AJLUNI",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-425-5200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MI",
"license": "4301082209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.