MATTHEW AJAYI DO
NPI 1194570366
Student in an Organized Health Care Education/Training Program in Jackson, MI

Q: What is Matthew Ajayi's NPI number?

The NPI number for Matthew Ajayi is 1194570366. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Q: What is Matthew Ajayi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Ajayi was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 22, 2024PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Matthew Ajayi Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW AJAYI DO (NPI 1194570366) is an individual student in an organized health care education/training program in Jackson, Michigan and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194570366

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMATTHEW AJAYICredential: DO

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address420 Adelphi St Apt DBrooklyn, NY 11238-1566 · (516) 983-1606

Phone(517) 205-4800

Sole ProprietorYes

Enumeration DateApril 22, 2024

NPPES CertifiedApril 22, 2024

✔ NPI 1194570366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

205 N EAST AVE, Jackson, MI 49201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Ajayi Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA RENE DANEK PA-C

Physician Assistant