Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Babila Fogam, MD

Individual provider Emergency Medicine Physician · NPI 1710475348

Michael Babila Fogam, MD is an Emergency Medicine in New York, New York. Graduated from Medical College of Georgia School of Medicine in 2018, 8 years ago. Licensed in New York.

Years since qualifying
8
Trained at
Medical College of Georgia School of Medicine
Licensed in
NY
In the registry since
2018
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

1111 Amsterdam Ave
New York, NY 10025-1716
Phone: (212) 523-8158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 311517 (NY)

Record details

NPI number1710475348
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2018
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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