Active NPI
Gail Griffin Olabisi, M.D.
- Internal Medicine Physician
- East Orange, NJ
National Provider Identifier
1821002254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA39430
- 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, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11433 | Other | NJ | AETNA |
| 3672204 | Medicaid | NJ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA39430 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Internal Medicine Physician
- Belleville, NJ
- NPI 1609932532
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.