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

Mr. Adetokunbo Ajibulu, PA

Individual provider Physician Assistant · NPI 1912919044

Mr. Adetokunbo Ajibulu, PA is a Physician Assistant in Forest Hills, New York. Licensed in New York and Virginia. Registered with an NPI since 2006.

Licensed in
NY, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11949 Union Tpke Apt # 5D
Forest Hills, NY 11375-6151
Phone: (646) 321-6197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 010505 (NY)
Medical Physician Assistant Taxonomy 363AM0700X (VA)

Record details

NPI number1912919044
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 13, 2006
Last updated in NPPESFebruary 1, 2008

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