TOKUNBO KEMI BABAGBEMI M.D., NPI 1447245097 — NEW YORK (NY)

NPI 1447245097

14+ Years Experience Individual

TOKUNBO KEMI BABAGBEMI M.D.

09/20/2005
PROVIDER ENUMERATION DATE
03.02.2010
LAST UPDATE DATE
1447245097
NPI NUMBER

About TOKUNBO KEMI BABAGBEMI

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

TOKUNBO KEMI BABAGBEMI is a provider established in NEW YORK, NY. The NPI number of TOKUNBO KEMI BABAGBEMI is 1447245097 and was assigned on 09/20/2005. The practitioners primary taxonomy code is: 2085R0202X with license number: 213848 MA .

Mailing address

  • City: NEW YORK
  • State: NY
  • Postal code: 100658790
  • Phone: 2128210680
  • Address: 425 E 61ST ST FL 9

Primary Practice Address

  • Region : NEW YORK, NY
  • NPI : 1447245097
  • Phone : 2127462520
  • Fax : 2127468596
  • Postalcode : 100214870
  • Address : 525 E 68TH ST RADIOLOGY,CORNELL/NEW YORK PRESBYTERIAN

Additional identifiers

  • Identifier: 2010097
  • Code / Type : 5 - MEDICAID
  • Identifier state : MA

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Additional identifiers # 2

  • Identifier: 213848
  • Code / Type : 1 - other
  • Identifier state : MA
  • Identifier issuer : TUFT HEALTH CARE

Provider taxonomy - Radiology

  • Taxonomy code: 2085R0202X
  • License number: 213848
  • License state: MA

The taxonomy is not the primary taxonomy.

Taxonomy description: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Healthcare provider taxonomy #2 - Radiology

  • Taxonomy code: 2085U0001X
  • License number: 213848
  • License state: MA

The taxonomy is not the primary taxonomy.

Taxonomy description: A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

Contacts:

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  • TOKUNBO KEMI BABAGBEMI M.D.
  • Address : 525 E 68TH ST RADIOLOGY,CORNELL/NEW YORK PRESBYTERIAN
  • Region : NEW YORK, NY
  • NPI : 1447245097
  • Phone : 2127462520
  • Fax : 2127468596
  • Postalcode : 100214870

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address525 E 68TH ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressRADIOLOGY,CORNELL/NEW YORK PRESBYTERIAN
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code100214870
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2127462520
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number2127468596
The fax number associated with the location address of the provider being identified.
NPI1447245097
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 12085R0202X
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Provider Enumeration Date09/20/2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated03.02.2010
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)TOKUNBO KEMI BABAGBEMI
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address425 E 61ST ST FL 9
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameNEW YORK
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code100658790
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number2128210680
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #12085R0202X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Provider License Number 1213848
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1MA
Healthcare Provider Primary Taxonomy Switch 1N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code 22085U0001X
Healthcare Provider Taxonomy 2Radiology
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
Provider License Number 2213848
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 2MA
Healthcare Provider Primary Taxonomy Switch 2N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 12010097
Other Provider Identifier #1
Other Provider Identifier Type 15
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1MA
Other Provider Identifier State #1
Other Provider Identifier 2213848
Other Provider Identifier #2
Other Provider Identifier Type 21
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 2MA
Other Provider Identifier State #2
Other Provider Identifier Issuer 2TUFT HEALTH CARE
Other Provider Identifier Issuer #2
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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