Active NPI
Oluwatoyin T Ajayi, MBBS
- Family Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 292657
- Practice address
- 546 Eastern Pkwy
Brooklyn, NY 11225-1604 - Phone
- (833) 904-2273
- Fax
- (617) 414-2090
- NPI assigned
- Jun 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 62179 | CT | |
| Family Medicine Physician | 207Q00000X | 250701 | MA | |
| Family Medicine Physician | 207Q00000X | 2019-01142 | NC | |
| Family Medicine Physician | 207Q00000X | 292657 | NY | Primary |
Addresses
Primary practice location
546 Eastern Pkwy
Brooklyn, NY 11225-1604
Mailing address
495 Flatbush Ave # C5
Brooklyn, NY 11225-3706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110093419A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NY, NC, IN, OH, IL, FL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62179 | CT | MD | Family Medicine Physician |
| 250701 | MA | MD | Family Medicine Physician |
| 2019-01142 | NC | MD | Family Medicine Physician |
| 292657 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cityblock Ipa Ny, LLC | Current | Accepting new patients | |
| Cityblock Medical Practice, LLC | Current | Accepting new patients | |
| Oluwatoyin Ajayi Medical Practice, PC | Family Medicine | Current | Accepting new patients |
| Advantagecare Physicians PC | Family Medicine | Current | Accepting new patients |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Cityblock Medical Practice, P.a. | Family Medicine | Current | Accepting new patients |
| Cityblock Medical Practice, P.a. | Past | Accepting new patients | |
| Fanourios I. Ferderigos, M.D., P.a. | Past | Accepting new patients |
Locations
2626 Tampa Rd
Ste 103
Palm Harbor, FL 34684
Phone (727) 789-3300
15416 N Florida Ave
Ste 203
Tampa, FL 33613
Phone (347) 463-5529
16115 La Salle St
South Holland, IL 60473
Phone (347) 463-5529
100 Grove St
Ste 115
Worcester, MA 01605
Phone (347) 463-5529
186 N Main St
Fl 2
Plymouth, MI 48170
Phone (248) 602-3303
4444 The Plaza
Unit 18
Charlotte, NC 28215
4444 The Plaza
Charlotte, NC 28215
Phone (336) 360-2407
1439 E Cone Blvd
Greensboro, NC 27405
Phone (336) 375-6104
1259 Bedford Ave
Brooklyn, NY 11216
Phone (347) 463-5529
495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001
495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
55 Water St
#4C
Brooklyn, NY 11201
Phone (917) 718-2063
546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800
55 Washington St
Ste 552
Brooklyn, NY 11201
800 N High St
Ste 4102
Columbus, OH 43215
Phone (347) 463-5529
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- oluwatoyin.ajayi@145331296403460.direct.elationemr.com
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
- oluwatoyin.ajayi.1@27775.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1912491770
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1588296784
Family Medicine, FL, IL, MA, MI, NC
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Primary Care Clinic/Center
- Columbus, OH
- NPI 1013673821
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1407719339
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1255108353
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
Family Medicine
-
- Orthopaedic Surgery Physician
- Palm Harbor, FL
- NPI 1225338510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1790912426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 FLATBUSH AVE # C5",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112253706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 EASTERN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112251604",
"telephone_number": "833-904-2273",
"fax_number": "617-414-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJAYI",
"first_name": "OLUWATOYIN",
"middle_name": "T",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-21",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "62179",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "250701",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2019-01142",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "292657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110093419A",
"state": "MA"
}
],
"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 Feb 16, 2023; 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.