Organization Active NPI

Ofem Ajah, Physician PC

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1689834152
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
192864 Issued in NY
Legal business name
OFEM AJAH, PHYSICIAN PC
Practice address
753 Classon Ave
Brooklyn, NY 11238-4647
Phone
(718) 636-1270
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Ofem Ajah
Title
President
Phone
(718) 636-1270

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 192864 NY
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 192864 NY Primary

Addresses

Primary practice location

753 Classon Ave
Brooklyn, NY 11238-4647

Mailing address

753 Classon Ave
Brooklyn, NY 11238-4647

Other identifiers 1

IdentifierTypeStateIssuer
01472393MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1689834152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 CLASSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 CLASSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384647",
            "telephone_number": "718-636-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFEM AJAH, PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AJAH",
        "authorized_official_first_name": "OFEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-636-1270",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "192864",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "192864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01472393",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.