1. Home
  2. Directory
  3. New York
  4. Staten Island
  5. Internal Medicine
  6. NPI Profile

FOUNTAIN PULMONARY P.C
NPI 1902816051
Internal Medicine - Pulmonary Disease in Staten Island, NY

Active since August 09, 2006
800 MANOR RD, SUITE 3, STATEN ISLAND, NY 10314(347) 562-2753(347) 289-5100 Get Directions Write a Review

NPPES record last updated: July 16, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Fountain Pulmonary P.c NPPES

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

FOUNTAIN PULMONARY P.C (NPI 1902816051) is a healthcare organization registered as a pulmonary disease in Staten Island, New York and active in the NPI registry since August 2006. The organization lists Adebambo Dolapo Olajitan, President, as its authorized official.

NPPES Registry Identity

NPI1902816051
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameFOUNTAIN PULMONARY P.C
Location Address800 MANOR RD, SUITE 3Staten Island, NY 10314-7034
Mailing Address800 Manor Rd, Suite 3Staten Island, NY 10314-7034 · (347) 562-2753 · Fax (347) 289-5100
Phone(347) 562-2753
Fax(347) 289-5100
Organization SubpartNo
Authorized OfficialAdebambo Dolapo OlajitanPresident · (347) 562-2753
Enumeration DateAugust 9, 2006
Last NPPES UpdateJuly 16, 2010
✔ NPI 1902816051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 212276
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
800 MANOR RD, Staten Island, NY 10314
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedWDW321NY
Medicare UPING81192NY
Medicaid01883816NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fountain Pulmonary P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fountain Pulmonary P.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Adebambo Olajitan, M.D. FCCP
Pulmonary Disease
NPI 1598768905
800 MANOR RD SUITE #3
Staten Island, NY 10314
(347) 562-2753
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fountain Pulmonary P.C's NPI number?

The NPI number for Fountain Pulmonary P.C is 1902816051. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is Fountain Pulmonary P.C located?

Fountain Pulmonary P.C is located at 800 Manor Rd Suite 3, Staten Island, NY 10314. The listed phone number is (347) 562-2753.

What is Fountain Pulmonary P.C's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Fountain Pulmonary P.C enrolled in Medicare?

Yes. Fountain Pulmonary P.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fountain Pulmonary P.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pulmonary Disease) reassigns their Medicare billing to Fountain Pulmonary P.C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fountain Pulmonary P.C was last updated on July 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.