Active NPI
Folasade Ajisegbede, CRNA
- Certified Registered Nurse Anesthetist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 133994
- Practice address
- 560 West 168TH St
New York, NY 10032-3917 - Phone
- (917) 754-4316
- NPI assigned
- Feb 24, 2019
- Last updated
- Jul 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 133994 | NY | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 679155 | NY |
Addresses
Primary practice location
560 West 168TH St
New York, NY 10032-3917
Mailing address
8704 Farragut Rd
Brooklyn, NY 11236-3237
Other names 1
- Folasade Ajibade
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Robert Wood Johnson PL
Robert Wood Johnson University Hosp
New Brunswick, NJ 08901-1928
Phone (732) 828-3000
10 Plum St
New Brunswick, NJ 08901-2065
Phone (732) 937-8841
475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-9292
65 James St
Edison, NJ 08820-3947
Phone (201) 854-5000
99 Hwy 37 W
Toms River, NJ 08755-6423
Phone (732) 557-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 679155 | NY | MD | Critical Care Medicine Registered Nurse |
| 133994 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Single Specialty | Current | Accepting new patients |
| New Jersey Healthcare Specialists PC | Single Specialty | Current | Accepting new patients |
| Rutgers Health-RWJ Pediatric Critical Care | Single Specialty | Current | Accepting new patients |
| Parkway Anesthesia Associates LLC | Single Specialty | Current | Accepting new patients |
| Rwjbh Observation Associates LLC | Single Specialty | Current | Accepting new patients |
| Rutgers Health-RWJ Pediatric Critical Care | Single Specialty | Current | Accepting new patients |
| North Shore - Lij Medical PC | Current | Accepting new patients |
Locations
65 James St
Edison, NJ 08820
Phone (732) 321-7010
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
10 Plum St
#G
New Brunswick, NJ 08901
Phone (732) 937-8841
125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
300 Community Dr
Manhasset, NY 11030
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
Single Specialty
-
- Anesthesiology Physician
- North Bergen, NJ
- NPI 1518319755
Single Specialty
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
Single Specialty
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
Single Specialty
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Single Specialty
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Critical Care Medicine (Anesthesiology) Physician
- New Brunswick, NJ
- NPI 1376551093
Single Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
-
dba JFK University Medical Center
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Edison, NJ
- NPI 1780301366
Hospital
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656892800000",
"number": "1740747971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8704 FARRAGUT RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 WEST 168TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323917",
"telephone_number": "917-754-4316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJISEGBEDE",
"first_name": "FOLASADE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-24",
"last_updated": "2022-07-04",
"certification_date": "2022-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "133994",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NY",
"license": "679155",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FOLASADE",
"last_name": "AJIBADE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; 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.