Individual provider Active NPI

Rafiu Olagboyega Ariganjoye, MD,MBA

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1922029651
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06954400 Issued in NJ
Practice address
1650 Selwyn Ave
Department of Pediatrics, Suite 6-D
Bronx, NY 10457-7626
Phone
(718) 518-5760
Fax
(718) 518-5124
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA06954400 NJ Primary

Addresses

Primary practice location

1650 Selwyn Ave
Department of Pediatrics, Suite 6-D
Bronx, NY 10457-7626

Mailing address

13 Norbridge Dr
Princeton, NJ 08540-6119
Phone (917) 405-5260

Other identifiers 2

IdentifierTypeStateIssuer
6900885007OtherNYMEDICAL EDUCATION NUMBER
01887154MedicaidNY

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
Master of Business Administration, Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922029651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 NORBRIDGE DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406119",
            "telephone_number": "917-405-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SELWYN AVE",
            "address_2": "DEPARTMENT OF PEDIATRICS, SUITE 6-D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577626",
            "telephone_number": "718-518-5760",
            "fax_number": "718-518-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIGANJOYE",
        "first_name": "RAFIU",
        "middle_name": "OLAGBOYEGA",
        "name_prefix": "Dr.",
        "credential": "MD,MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06954400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EDUCATION NUMBER",
            "identifier": "6900885007",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01887154",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

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.

Verify at the official NPI Registry.