Olugbenga M Ajayi | Bronx, NY • PECOS Search

Olugbenga M Ajayi

Registered Nurse

Nursing Service Providers

3155 Grace Ave, Bronx, NY 10469-3134

PECOS Enrollment

Based on the most recent information from CMS, provider Olugbenga M Ajayi does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1023683836
Provider Type
Individual
Full Name
Ajayi, Olugbenga M
Gender
Male

Sole Proprietor
No
Enumeration Date
5/24/2021
Last Updated
5/24/2021

Contact Information

Practice Location

3155 Grace Ave, Bronx, NY 10469-3134

(718) 320-9375

Mailing Location

3155 Grace Ave, Bronx, NY 10469-3134

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 163W00000X Primary	Description Registered Nurse Nursing Service Providers	License 766384 New York