1922029651 NPI number — DR. RAFIU OLAGBOYEGA ARIGANJOYE MD,MBA

Table of content: DR. RAFIU OLAGBOYEGA ARIGANJOYE MD,MBA (NPI 1922029651)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922029651 NPI number — DR. RAFIU OLAGBOYEGA ARIGANJOYE MD,MBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARIGANJOYE
Provider First Name:
RAFIU
Provider Middle Name:
OLAGBOYEGA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD,MBA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922029651
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13 NORBRIDGE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PRINCETON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08540-6119
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-405-5260
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1650 SELWYN AVE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PEDIATRICS, SUITE 6-D
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10457-7626
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-518-5760
Provider Business Practice Location Address Fax Number:
718-518-5124
Provider Enumeration Date:
07/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  25MA06954400 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6900885007 . This is a "MEDICAL EDUCATION NUMBER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01887154 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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