Active NPI
Aishat Olatunde, MD
- Obstetrics & Gynecology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD473152
- Practice address
- 5501 Old York Rd Ste 3
Philadelphia, PA 19141-3018 - Phone
- (215) 456-7180
- Fax
- (215) 456-7052
- NPI assigned
- Jun 3, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD60944164 | WA | |
| Obstetrics & Gynecology Physician | 207V00000X | MD473152 | PA | Primary |
Addresses
Primary practice location
5501 Old York Rd Ste 3
Philadelphia, PA 19141-3018
Mailing address
101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470
Phone (215) 456-1825
Other practice location 1
4245 Roosevelt Way NE
Seattle, WA 98105-6008
Phone (206) 598-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891175980 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-9850
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Medical Group Practice, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Kennedy Medical Group Practice, P.C. | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Kennedy Medical Group Practice PC | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Past | Accepting new patients |
Locations
457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091
205 E Laurel Rd
Stratford, NJ 08084
Phone (856) 344-7360
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405
5401 Old York Rd
Ste 4
Philadelphia, PA 19141
Phone (215) 456-6990
101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630
7201 Rising Sun Ave
Philadelphia, PA 19111
Phone (215) 722-8105
Organizations & group practices 7
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.
-
dba Einstein Psychiatry Assoc
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
dba Jefferson Health
- Family Medicine Physician
- Voorhees, NJ
- NPI 1952726796
Obstetrics & Gynecology
-
dba Einstein ENT Associates
- Otolaryngology Physician
- Philadelphia, PA
- NPI 1407814072
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
dba Kennedy Health Alliance
- Family Medicine Physician
- Sewell, NJ
- NPI 1952848905
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1427350040
-
dba Northern Vascular Lab
- Surgery Physician
- Philadelphia, PA
- NPI 1992761621
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1891175980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E OLNEY AVE STE 400",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202470",
"telephone_number": "215-456-1825",
"fax_number": "215-456-5926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 OLD YORK RD STE 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413018",
"telephone_number": "215-456-7180",
"fax_number": "215-456-7052"
}
],
"practiceLocations": [
{
"address_1": "4245 Roosevelt Way NE",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981056008",
"country_code": "US",
"telephone_number": "206-598-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLATUNDE",
"first_name": "AISHAT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-03",
"last_updated": "2021-09-16",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD60944164",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD473152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891175980",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.