Individual provider Active NPI

Ayodeji Oladapo Nubi, M.D.

  • Surgery Physician
  • Cortlandt Manor, NY
National Provider Identifier
1962709865
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD446089 Issued in PA
Practice address
1978 Crompond Rd
Cortlandt Manor, NY 10567-4111
Phone
(914) 293-8600
Fax
(914) 293-8606
NPI assigned
Feb 12, 2011
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD446089 PA Primary
Surgical Critical Care Physician 2086S0102X 292005 NY

Addresses

Primary practice location

1978 Crompond Rd
Cortlandt Manor, NY 10567-4111

Mailing address

1978 Crompond Rd Ste 101
Cortlandt Manor, NY 10567-4114

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address aon9003@direct.nyp.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120725000789 PA Practitioner - General Surgery 8820254477 Reassigns benefits to 4 organizations
I20180518000706 NY Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 8820254477 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (914) 737-9000

45 Reade PL
FL 3
Poughkeepsie, NY 12601-3947
Phone (845) 431-5699

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)19
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD446089PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2012 Accepting new patients
Montefiore Medical Center Surgery CurrentSince Apr 13, 2018 Accepting new patients
Lancaster General Hospital Surgery CurrentSince Aug 1, 2013 Accepting new patients
Montefiore Medical Center CurrentSince Apr 13, 2018 Accepting new patients
Lancaster General Hospital CurrentSince Aug 1, 2013 Accepting new patients
The Westchester Medical Practice, PC Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2012 Accepting new patients
Nuvance Health Medical Practice PC CurrentSince Jul 14, 2025 Accepting new patients
Fayette Physician Network Inc CurrentSince Jan 24, 2022 Accepting new patients
Lancaster General Hospital Surgery CurrentSince Dec 1, 2014 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Hudson Vista Medical,PC Surgery CurrentSince Jul 1, 2023 Accepting new patients
Lancaster General Hospital Current Accepting new patients
The Westchester Medical Practice, PC CurrentSince Mar 1, 2020 Accepting new patients
Fayette Physician Network Inc Surgery CurrentSince Jan 24, 2022 Accepting new patients
Ari Mayerfield, M.D.F.a.C.S, PLLC PastSince Feb 4, 2024 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Hudson Valley Hospital Center Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

19 Laurel Ave
Ste LL1
Cornwall, NY 12518
Phone (845) 534-7080

1978 Crompond Rd
Ste 101
Cortlandt Manor, NY 10567
Phone (914) 226-3256

1978 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 293-8450

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

21 Reade Pl
Ste 3100A
Poughkeepsie, NY 12601
Phone (845) 214-1900

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

45 Reade Pl
Fl 3
Poughkeepsie, NY 12601
Phone (845) 431-5699

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

950 S Octorara Trl
#H
Parkesburg, PA 19365
Phone (717) 544-3737

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: anubi321748@direct.wvuhsdirect.com
  • Direct secure messaging: anubi4712833@nychhc.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 4

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": "1297468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1962709865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 CROMPOND RD STE 101",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 CROMPOND RD",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674111",
            "telephone_number": "914-293-8600",
            "fax_number": "914-293-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUBI",
        "first_name": "AYODEJI",
        "middle_name": "OLADAPO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-12",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD446089",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "292005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "1978 Crompond Rd",
            "city": "Cortlandt Manor",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105674111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "1978 Crompond Rd",
            "city": "Cortlandt Manor",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105674111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aon9003@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "1978 Crompond Rd",
            "city": "Cortlandt Manor",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105674111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.