FOUNTAIN PULMONARY P.C


Address: 800 Manor Rd, Suite 3, Staten Island, NY 10314-7034
Phone: 3475622753

FOUNTAIN PULMONARY P.C (NPI# 1902816051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902816051
Entity Type Organization
Organization Name FOUNTAIN PULMONARY P.C
Practice Address 800 Manor Rd
Suite 3
Staten Island
NY 10314-7034
Practice Telephone 3475622753
Practice Fax Number 3472895100
Mailing Telephone 3475622753
Mailing Fax Number 3472895100
Enumeration Date 2006-08-09
Last Update Date 2010-07-16
Authorized Official Name DR. ADEBAMBO DOLAPO OLAJITAN (PRESIDENT)
Authorized Official Telephone 3475622753
Authorized Official Credential M.D., FCCP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
212276 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01883816 05

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities FOUNTAIN PULMONARY P.C. 800 Manor Rd Ste 3, Staten Island, NY 10314-7030

Office Location

Street Address 800 MANOR RD
SUITE 3
City STATEN ISLAND
State NY
Zip Code 10314-7034

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598768905 Adebambo Dolapo Olajitan Internal Medicine 800 Manor Rd, Suite #3, Staten Island, NY 10314-7034 2005-05-31
1952726234 Chandin Vinekumar Patel Physical Therapist 800 Manor Rd, Suite 4, Staten Island, NY 10314-7036 2014-02-24
1801181029 Ma Fatima C Isidro Physical Therapist 800 Manor Rd, Staten Island, NY 10314-7036 2011-06-15
1518268523 John Frederick Martinez Physical Therapist 800 Manor Rd, Suite 2, Staten Island, NY 10314-7034 2010-11-07
1245531250 Manor Road Physical Therapy PC Clinic/Center 800 Manor Rd, Suite 2, Staten Island, NY 10314-7034 2010-11-07
1053575225 Richmond Internal Medicine Group, P.C. Internal Medicine 800 Manor Rd, Suite 4, Staten Island, NY 10314-7034 2008-07-16
1942402722 Filippo S Ragone Chiropractor 800 Manor Rd, Suite 2, Staten Island, NY 10314-7034 2007-06-04
1336368356 Karen Baez Specialist 800 Manor Rd, Staten Island, NY 10314-7034 2007-04-25
1962588723 Donaire H Howard Social Worker 800 Manor Rd, Professional Suites 2v, Staten Island, NY 10314-7016 2006-10-27
1477576288 Sunithi Krishnan Internal Medicine 800 Manor Rd, Suite #4, Staten Island, NY 10314-7034 2006-07-25
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184979809 Ziad Esper Internal Medicine 288 Slater Blvd, Staten Island, NY 10305-4046 2012-07-18
1679732507 Sara B Ahmed Internal Medicine 2905 Hylan Boulevard, Staten Island, NY 10306-4653 2008-06-05
1629157516 Medical Practice Associates Pllc Internal Medicine 235 Dongan Hills Avenue, Suite 2e, Staten Island, NY 10305 2006-11-03
1427007905 Ralph John Ciccone IIi Internal Medicine 501 Seaview Avenue, Suite 102, Staten Island, NY 10305 2006-05-10
1023072709 Ahmed Aly Abdelfadil Internal Medicine 5947 Amboy Rd., 2nd Fl., Staten Island, NY 10309-3118 2006-04-12
1780673244 James L Bruno Internal Medicine 277 Nelson Ave, Staten Island, NY 10308-3204 2005-10-18
1598768905 Adebambo Dolapo Olajitan Internal Medicine 800 Manor Rd, Suite #3, Staten Island, NY 10314-7034 2005-05-31
1790019198 Metro Sleep Medicine PC Internal Medicine 800 Castleton Ave, Staten Island, NY 10310-1819 2009-10-01
1780895425 Staten Island Pulmonary Assoc PC Internal Medicine 501 Seaview Ave, Suite 102, Staten Island, NY 10305-3400 2007-05-24
1437184942 Advanced Pulmonary and Sleep PC Internal Medicine 310 Richmond Hill Rd, Staten Island, NY 10314-7585 2006-07-12
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Competitor

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City STATEN ISLAND
Zip Code 10314

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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