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

Oluwaseun D Ajifowobaje

Individual provider Nuclear Radiology Physician · NPI 1619492865

Oluwaseun D Ajifowobaje is a Physical Therapist in Private Practice in Astoria, New York. Qualified in 2016, 10 years ago. Practices with Forever Fit Physical Therapy and Wellness LLC, a 38-clinician group and accepts Medicare assignment. Licensed in Maryland and New York.

Years since qualifying
10
Licensed in
MD, NY
In the registry since
2017
Specialties on file
3

Practice location Address checks out

3244 31st St
Astoria, NY 11106-2561
Phone: (718) 707-6970
Fax: (718) 707-6977
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 041656 (NY)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence 26845 (MD)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 26845 (MD)

Record details

NPI number1619492865
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 9, 2017
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Forever Fit Physical Therapy And Wellness Llc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare