Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ayodele O Atolagbe, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255686085

Dr. Ayodele O Atolagbe, MD is a Family Practice in Jamaica, New York. Qualified in 2007, 19 years ago. Practices with Ahava Medical and Rehabilitation Center, LLC, a 150-clinician group and accepts Medicare assignment.

Years since qualifying
19
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14554 107th Ave
Jamaica, NY 11435-5240
Phone: (347) 503-9067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1255686085
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2012
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Ahava Medical And Rehabilitation Center, Llc — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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