Olabisi Omolara Asimolowo, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

25MA09630600 Issued in NJ

Practice address

140 Park Ave
Florham Park, NJ 07932-1049

Phone

(973) 718-5800

Fax

(973) 939-4216

NPI assigned

Apr 29, 2008

Last updated

Feb 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northern Valley Anesthesiology, P.a.

  • Anesthesiology Physician
  • Englewood, NJ
  • NPI 1245289487
  Medicare reassignment NPD
• Pain Management and Wellness of Palisades

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Englewood, NJ
  • NPI 1245593193
  NPD (past)
• Performance Medical Praactice LLC

  • Pain Medicine Physician
  • New York, NY
  • NPI 1457831174
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1871768929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9044",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109549044",
            "telephone_number": "201-838-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PARK AVE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321049",
            "telephone_number": "973-718-5800",
            "fax_number": "973-939-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASIMOLOWO",
        "first_name": "OLABISI",
        "middle_name": "OMOLARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD446035",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA09630600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apu Counseling
• Juliana Ardizzone, LPC
• Arthur F Paulina Jr MD PA
• Kwadwo Asiamah Asamoah-Duodu, PSYD
• Shane Ashmeade, M.D.
• Stephanie Askovic
• Associates in Internal Medicine LLC
• Atlantic Neurocare LLC
• Atlantic Orthopaedic Associates, LLC
• Atrium Medical Group

• Pain Medicine Physician in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.

Verify at the official NPI Registry.