MR. TOBA OLUSHOLA OMIDIJI (NPI# 1225552292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225552292 |
| Entity Type | Individual |
| Full Name | MR. TOBA OLUSHOLA OMIDIJI |
| Credential | ANP |
| Practice Address |
528 Rockaway Ave Brooklyn NY 11212-5625 |
| Practice Telephone | 4087621980 |
| Practice Fax Number | 4087621980 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2020-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F307838 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
528 ROCKAWAY AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11212-5625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365136 | Ama Asabea Asare | Student in an Organized Health Care Education/Training Program | Emergency Medicine, Brookdale University Hospital and M, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2020-04-22 |
| 1811516560 | Amrusha Musunuru | Student in an Organized Health Care Education/Training Program | Room 222 Chc, Department of Surgical Services, The Broo, Brookdale, NY 11212 | 2020-04-13 |
| 1508414707 | Sri Lakshmi Atthota | Student in an Organized Health Care Education/Training Program | Brookdale University Hospital,room 222, Chc, One Brookdale Plaza, Brooklyn,new York, NY 11212 | 2019-08-30 |
| 1457812273 | Shane Devanand Naidoo | Student in an Organized Health Care Education/Training Program | Dept of Emergency Medicine, Brookdale Hospital Med Cntr, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2019-03-26 |
| 1790262467 | Xiao Xiong You | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Department of Adult Psychiatry, Brooklyn, NY 11212 | 2018-07-25 |
| 1215426143 | Danielle Levy | Counselor | 298 Hegeman Ave, Brooklyn, NY 11212 | 2018-05-07 |
| 1699298026 | Alexander Andreev | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Brooklyn, Brooklyn, NY 11212 | 2017-07-18 |
| 1598288011 | Naga Venkata Divya Challa | Student in an Organized Health Care Education/Training Program | One Brookdale Plaza, 8 Chc Room 801-5, Department of Pediatrics, Brookdale University Hospital, Brooklyn, NY 11212 | 2017-07-18 |
| 1912428921 | Sadrac Edouard | Licensed Practical Nurse | 498 East 94th St, Brooklyn, NY 11212 | 2017-06-29 |
| 1023544194 | Orrett Layne | Licensed Practical Nurse | 279 East 92nd Street, Brooklyn, NY 11212 | 2017-05-10 |
| Find all providers in zip 11212 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334100 | Yin Kong | Nurse Practitioner | 7105 3rd Avenue, #523, 7105 3rd Avenue, #52, Brooklyn, NY 11209-1308 | 2020-10-21 |
| 1922612944 | Rosemarie Elizabeth Crosdale | Nurse Practitioner | 9019 Avenue A, Brooklyn, NY 11236-1208 | 2020-09-08 |
| 1144832247 | Marise Richard | Nurse Practitioner | 1106 E 57th St, Brooklyn, NY 11234-3312 | 2020-08-19 |
| 1487264008 | Dina Levkova | Nurse Practitioner | 303 Webster Ave Apt 2f, Brooklyn, NY 11230-1256 | 2020-08-07 |
| 1972113694 | Winsome Elizabeth Benain | Nurse Practitioner | 9621 Avenue B, Brooklyn, NY 11236-1321 | 2020-08-06 |
| 1396355327 | Samuel S Wilburn | Nurse Practitioner | 75 Jackson St Apt 1, Brooklyn, NY 11211-2245 | 2020-08-04 |
| 1710595335 | Aimee Huang | Nurse Practitioner | 96 Bay 10th St, Brooklyn, NY 11228-3702 | 2020-07-20 |
| 1700494812 | Jessica B Schwab | Nurse Practitioner | 75 Jackson St Apt 1fh, Brooklyn, NY 11211-2245 | 2020-07-15 |
| 1225654916 | Leasha Lindsay | Nurse Practitioner | 1214 E 87th St, Brooklyn, NY 11236-4929 | 2020-06-18 |
| 1760002323 | Satchell-lee Tyrell | Nurse Practitioner | 537 Rogers Ave, Brooklyn, NY 11225-5445 | 2020-04-23 |
| Find all providers in BROOKLYN | ||||
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| 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.