Individual provider Active NPI

Gail Griffin Olabisi, M.D.

  • Internal Medicine Physician
  • East Orange, NJ
National Provider Identifier
1821002254
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA39430 Issued in NJ
Practice address
280 S Harrison St
Suite B-2
East Orange, NJ 07018-1960
Phone
(973) 677-7887
Fax
(973) 677-0946
NPI assigned
Jul 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA39430 NJ Primary

Addresses

Primary practice location

280 S Harrison St
Suite B-2
East Orange, NJ 07018-1960

Mailing address

435 Parkside Rd
Plainfield, NJ 07060-2847
Phone (908) 229-7507

Other identifiers 2

IdentifierTypeStateIssuer
11433OtherNJAETNA
3672204MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA39430NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sai Medical Center, LLC Internal Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821002254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 PARKSIDE RD",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070602847",
            "telephone_number": "908-229-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S HARRISON ST",
            "address_2": "SUITE B-2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181960",
            "telephone_number": "973-677-7887",
            "fax_number": "973-677-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLABISI",
        "first_name": "GAIL",
        "middle_name": "GRIFFIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA39430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "11433",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3672204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.