| Simbiat O Ajayi Ajibola, | |
|
17631 130th Ave, 1st Floor, Jamaica, NY 11434-5823 | |
| (718) 801-7581 | |
| Not Available |
| Full Name | Simbiat O Ajayi Ajibola |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 17631 130th Ave, Jamaica, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699919860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 614041 (New York) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | F307777 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jamaica Hospital Medical Center | Jamaica, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jamaica Hospital | 2264324334 | 218 |
| Entity Name | Jamaica Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477505220 PECOS PAC ID: 2264324334 Enrollment ID: O20040427001519 |
| Mailing Address | Practice Location Address |
|---|---|
| Simbiat O Ajayi Ajibola, 17631 130th Ave, 1st Floor, Jamaica, NY 11434-5823 Ph: (718) 801-7581 | Simbiat O Ajayi Ajibola, 17631 130th Ave, 1st Floor, Jamaica, NY 11434-5823 Ph: (718) 801-7581 |
Mary Clancy, PA Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8900 Van Wyck Expy, Jhmc Er, Jamaica, NY 11418 Phone: 718-206-6000 | |
Mrs. Emilia Ureh Nwachukwu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14442 175th St, Jamaica, NY 11434 Phone: 718-525-7845 | |
Ms. Aliyamma Samuel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 82-68 164th St, Jamaica, NY 11432 Phone: 718-883-3225 Fax: 718-883-6193 | |
Immacula Samson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3226 | |
Jessica Obidimalor, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165-17 145th Road, Jamaica, NY 11434 Phone: 347-570-5153 | |
Feba Abraham, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8900 Van Wyck Expy, Jamaica Hospital, Jamaica, NY 11418 Phone: 718-206-6000 Fax: 718-206-6915 | |
Mrs. Simone Alicia Belle, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8900 Van Wyck Expy, Jamaica, NY 11418 Phone: 718-206-6000 |