| Dr Oluwole Ayodeji Tairu, MD | |
|
150 Bergen St Level C, Newark, NJ 07103-2496 | |
| (973) 972-2161 | |
| (973) 972-2307 |
| Full Name | Dr Oluwole Ayodeji Tairu |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 17 Years |
| Location | 150 Bergen St Level C, Newark, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912133109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 275287 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA09688800 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| New York-presbyterian Hospital | New york, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbiadoctors/newyork-presbyterianimaging | 6608141981 | 88 |
| Trustees Of Columbia University In The City Of New York | 8527972546 | 2014 |
| Entity Name | Trustees Of Columbia University In The City Of New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467560854 PECOS PAC ID: 3072403393 Enrollment ID: O20040318001241 |
| Entity Name | Trustees Of Columbia University In The City Of New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613 |
| Entity Name | Columbiadoctors/newyork-presbyterianimaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902345986 PECOS PAC ID: 6608141981 Enrollment ID: O20171012002443 |
| Entity Name | Columbia/newyork-presbyterian Advanced Imaging Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356171797 PECOS PAC ID: 9436686458 Enrollment ID: O20250102001471 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Oluwole Ayodeji Tairu, MD 30 Bergen St Admc 12 1205, Newark, NJ 07107-3000 Ph: () - | Dr Oluwole Ayodeji Tairu, MD 150 Bergen St Level C, Newark, NJ 07103-2496 Ph: (973) 972-2161 |
Dr. Keith Michael Spellman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7960 | |
Dustin Geldrich Roberts, Radiology Medicare: Accepting Medicare Assignments Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 973-972-5188 Fax: 973-972-7429 | |
Michael Warhit, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7960 | |
Kris Arun Nathan, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000 | |
Dr. Omar Jamil, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 185 S Orange Ave, Department Of Surgery, Medical Science Building, G-506, Newark, NJ 07103 Phone: 973-972-6639 | |
Dr. Candido P Quinones, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 111 Central Ave, Newark, NJ 07102 Phone: 973-877-5287 | |
John Yoon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave Dept Of, Newark, NJ 07112 Phone: 732-763-0437 |