Fountain Pulmonary P.C

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

212276 Issued in NY

Legal business name

FOUNTAIN PULMONARY P.C

Practice address

800 Manor Rd
Suite 3
Staten Island, NY 10314-7034

Phone

(347) 562-2753

Fax

(347) 289-5100

NPI assigned

Aug 9, 2006

Last updated

Jul 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adebambo Dolapo Olajitan, M.D., FCCPNPI 1598768905

Title

President

Phone

(347) 562-2753

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adebambo Dolapo Olajitan, M.D. FCCP

  • Pulmonary Disease Physician
  • Staten Island, NY
  • NPI 1598768905
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1902816051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MANOR RD",
            "address_2": "SUITE 3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147034",
            "telephone_number": "347-562-2753",
            "fax_number": "347-289-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MANOR RD",
            "address_2": "SUITE 3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147034",
            "telephone_number": "347-562-2753",
            "fax_number": "347-289-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN PULMONARY P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "OLAJITAN",
        "authorized_official_first_name": "ADEBAMBO",
        "authorized_official_middle_name": "DOLAPO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-562-2753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FCCP"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "212276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01883816",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Fostik
• Vicky Fotiou
• Foundations Learning & Development LLC
• Foundations Podiatry P.C.
• Fountain of Youth
• Four Bridges Social Work Services LCSW PC
• Mary Fourte, MS CCC-SLP
• Andrea Fox, BS PHARM
• Angela Maria Fox, R.N.
• Daniel Fox, D.O.

• Pulmonary Disease Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.