NPIMap

Individual provider Active NPI

Olutoyin O Abitoye, MD

  • Internal Medicine Physician
  • Mount Holly, NJ
National Provider Identifier
1851559595
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08411200 Issued in NJ
Practice address
175 Madison Ave
Mount Holly, NJ 08060-2038
Phone
(609) 265-7905
Fax
(609) 914-6182
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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 25MA08411200 NJ Primary

Addresses

Primary practice location

175 Madison Ave
Mount Holly, NJ 08060-2038

Mailing address

401 Route 73 N
40 Lake Center Drive Ste 201a
Marlton, NJ 08053-3425
Phone (856) 355-0340

Other identifiers 1

IdentifierTypeStateIssuer
0183318MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121003000528 TX Practitioner - Internal Medicine 1850467515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Hospitalists PLLCGroup PAC ID 5799785119, 266 clinicians
Questcare Matrix PLLCGroup PAC ID 7719137397, 40 clinicians

Practice addresses (Care Compare)

1950 Record Crossing Rd
Dallas, TX 75235-6223
Phone (954) 939-5000

2601 W Randol Mill Rd
Arlington, TX 76012-4289
Phone (954) 939-5000

3109 Kings CT
Richland Hills, TX 76118-6366
Phone (954) 939-5000

4401 Booth Calloway Rd
North Richland Hills, TX 76180-7371
Phone (817) 255-1000

791 S Main St
Keller, TX 76248-4905
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Matrix, PLLC Internal Medicine CurrentSince May 2, 2020 Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Questcare Matrix, PLLC Internal Medicine CurrentSince May 2, 2020 Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
NJ Acute Care Specialists Professional Corporation Internal Medicine Past Accepting new patients
Coryell County Memorial Hospital Authority Past Accepting new patients
Virtua Medical Group, PA Internal Medicine Past Accepting new patients
Columbia North Hills Hospital Subsidiary LP Past Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients

Locations

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

550 E Ann Arbor Ave
Dallas, TX 75216
Phone (214) 376-1701

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

850 12th Ave
Ft Worth, TX 76104
Phone (817) 882-8289

2620 Communications Pkwy
Plano, TX 75093
Phone (214) 501-4672

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

3109 Kings Ct
Richland Hills, TX 76118
Phone (254) 631-5342

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Richland Hills Rehabilitation and Healthcare CenterRichland Hills, TX, CCN 455576 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Apr 9, 2024
Apr 9, 2024
Apr 9, 2024
Glenview Wellness & RehabilitationRichard Hills, TX, CCN 455494 Skilled nursing facility Adp of the SNF Jan 1, 2019
Keller Oaks Healthcare CenterKeller, TX, CCN 676023 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Nov 1, 2019
Nov 1, 2019
Nov 1, 2019

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1851559595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N",
            "address_2": "40 LAKE CENTER DRIVE STE 201A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533425",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MADISON AVE",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602038",
            "telephone_number": "609-265-7905",
            "fax_number": "609-914-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABITOYE",
        "first_name": "OLUTOYIN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08411200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0183318",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.