MR. ADETOKUNBO AJIBULU P.A.
NPI 1912919044
Physician Assistant in Forest Hills, NY
About Mr. Adetokunbo Ajibulu P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ADETOKUNBO AJIBULU P.A. (NPI 1912919044) is an individual physician assistant in Forest Hills, New York, licensed in New York (010505) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Adetokunbo Ajibulu P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11375 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Adetokunbo Ajibulu's NPI number?
The NPI number for Adetokunbo Ajibulu is 1912919044. It was assigned to this individual provider in the NPPES registry on August 13, 2006.
Where is Adetokunbo Ajibulu located?
Adetokunbo Ajibulu practices at 11949 Union Tpke Apt # 5D, Forest Hills, NY 11375. The listed phone number is (646) 321-6197.
What is Adetokunbo Ajibulu's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Adetokunbo Ajibulu enrolled in Medicare?
Yes. Adetokunbo Ajibulu is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Adetokunbo Ajibulu was last updated on February 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mr. Adetokunbo Ajibulu, P.A. · NPI 1912919044
Physician Assistant physician in Forest Hills, New York. Individual provider, active in the CMS NPPES registry since August 13, 2006.
## Identity
- **NPI:** 1912919044 (Entity type: Individual)
- **Enumerated:** August 13, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 010505 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 11949 UNION TPKE, APT # 5D, Forest Hills, NY 11375-6151
- **Phone:** (646) 321-6197
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 1, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1912919044) · Data from the CMS NPPES public registry.