DR. FOLASHADE O AJEGBA (NPI# 1275726515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275726515 |
| Entity Type | Individual |
| Full Name | DR. FOLASHADE O AJEGBA |
| Other Name | FOLASHADE OMODELE AJAKAIYE |
| Credential | MD |
| Practice Address |
990 Stewart Ave Suite 400 Garden City NY 11530-4822 |
| Practice Telephone | 5162222022 |
| Mailing Telephone | 5162222022 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2017-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
48693 | CT | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
274344-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3101093 | 05 | |
| OH | RAILROAD MEDICARE | P00891133 | 01 |
| Street Address |
990 STEWART AVE SUITE 400 |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11530-4822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194724427 | Jay S Rechtweg | Otolaryngology | 990 Stewart Ave, Suite 610, Garden City, NY 11530-4822 | 2005-07-19 |
| 1245647817 | Roxanne Forlano | Audiologist | 990 Stewart Ave, Suite 610, Garden City, NY 11530-4822 | 2014-07-16 |
| 1700292349 | Diana Desanto | Audiologist | 990 Stewart Ave, Suite 610, Garden City, NY 11530-4822 | 2014-07-03 |
| 1841600228 | Raiodental of Garden City | Clinic/Center | 990 Stewart Ave, Suite Ll60, Garden City, NY 11530-4822 | 2014-05-06 |
| 1972852036 | Kerri Lynn O'connor | Audiologist | 990 Stewart Ave, Suite 610, Garden City, NY 11530-4822 | 2012-09-05 |
| 1912209966 | Rabu Chiropractic & Diagnostic Services, P.C. | Chiropractor | 990 Stewart Ave, Suite Ll30, Garden City, NY 11530-4822 | 2010-11-24 |
| 1689980377 | Greater Long Island Medical Services Pllc | Surgery | 990 Stewart Ave, Suite 400, Garden City, NY 11530-4822 | 2010-08-19 |
| 1932439692 | Hands On Health Medical, P.C. | General Practice | 990 Stewart Ave, Suite Ll30, Garden City, NY 11530-4822 | 2009-12-31 |
| 1144463324 | Jeffrey Seth Reiner | Radiology | 990 Stewart Ave, Suite 400, Garden City, NY 11530-4822 | 2009-04-17 |
| 1346485091 | Daniel Lawrence Klein | Radiology | 990 Stewart Ave, Suite 400, Garden City, NY 11530-4822 | 2008-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
| 1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
| 1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
| Find all providers in zip 11530 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215101175 | Ari Michael Steiner | Radiology | 224 Seventh St, Garden City, NY 11530 | 2008-04-22 |
| 1497961353 | Matthew Joseph Kovie | Radiology | 6245 Inkster Road, Garden City, MI 48135-4001 | 2007-05-15 |
| 1427128826 | David B. Marshall | Radiology | 100 Hilton Ave, Apt 905, Garden City, NY 11530-1564 | 2006-11-09 |
| 1831103670 | Southfield Radiology Associates, Pllc | Radiology | 6245 N Inkster Rd, Garden City, MI 48135-4001 | 2006-07-28 |
| 1114907383 | George Russell Autz | Radiology | 990 Stewart Ave., Garden City, NY 11530 | 2006-01-22 |
| 1568465714 | Lowell B. Barek | Radiology | 224 7th St, 3rd Floor, Garden City, NY 11530-5774 | 2005-05-23 |
| 1982607198 | Metropolitan Diagnostic Imaging, PC | Radiology | 601 Franklin Ave, Garden City, NY 11530-5795 | 2005-05-23 |
| 1336612084 | Garden City Radiology Pllc | Radiology | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2019-01-05 |
| 1598170664 | Mathieu Sabbagh | Radiology | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2014-06-26 |
| 1558776773 | Kalpesh Desai | Radiology | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2014-06-26 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 11530 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.