DR. OLUWAFEMI S ODEYALE


Address: 12506 101st Ave, South Richmond Hill, NY 11419
Phone: 7188492900

DR. OLUWAFEMI S ODEYALE (NPI# 1528341609) 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) 1528341609
Entity Type Individual
Full Name DR. OLUWAFEMI S ODEYALE
Credential DPM
Practice Address 12506 101st Ave
South Richmond Hill
NY 11419
Mailing Address 55 Water Street
2nd Floor Cred Dept
New York
NY 10041-0004
Practice Telephone 7188492900
Practice Fax Number 7185595468
Mailing Telephone 6466802888
Mailing Fax Number 5165425556
Enumeration Date 2011-09-24
Last Update Date 2019-09-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
006528 NY Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY LICENSE N006528 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
169-27 137th Ave, Rochdale, NY 114344517 7185255600 7185595285
169-59 137th Ave, Rochdale, NY 114344517 7185255600 7185595285
206-20 Linden Blvd, Cambria Heights, NY 114111524 7184796600 7182647080

Office Location

Street Address 12506 101ST AVE
City SOUTH RICHMOND HILL
State NY
Zip Code 11419

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154374064 John W Contovasilis Internal Medicine 12506 101st Ave, South Richmond Hill, NY 11419-1412 2006-05-19
1437590957 James Jin Lee Family Medicine 12506 101st Ave, South Richmond Hill, NY 11419-1412 2013-07-12
1659534543 Sapna Shah Family Medicine 12506 101st Ave, South Richmond Hill, NY 11419 2008-07-09
1134303969 Chanchal D Sabharwal Internal Medicine 12506 101st Ave, South Richmond Hill, NY 11419 2007-12-28
1548340243 Qlimg Richmond Hill Med Office Allergy & Immunology 12506 101st Ave, South Richmond Hill, NY 11419-1412 2006-10-17
1235151747 Denise S Szandrowski Internal Medicine 12506 101st Ave, South Richmond Hill, NY 11419-1412 2006-07-24
1720016934 Se H Kim Obstetrics & Gynecology 12506 101st Ave, South Richmond Hill, NY 11419-1412 2006-06-28
1003844309 Karen Woodburn-hourie Pediatrics 12506 101st Ave, South Richmond Hill, NY 11419-1412 2006-06-28
1811923485 Nicholas Vogiatzis Internal Medicine 12506 101st Ave, South Richmond Hill, NY 11419-1412 2006-06-24
1861434995 Rabeya Rahman Internal Medicine 12506 101st Ave, South Richmond Hill, NY 11419-1412 2006-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780218081 Ny Metro Dental, PC Dentist 119-01 Liberty Avenue, Richmond Hill, NY 11419 2020-02-25
1811558646 Sarah Lindsay Davison Speech-Language Pathologist Cuomo First Step Preschool, 115-15 101st Avenue, South Richmond Hill, NY 11419 2019-06-24
1629569983 Village Star Drugs Inc Pharmacy 125-05 Liberty Avenue, S. Richmond Hill, NY 11419 2018-05-22
1023535994 Sonali Sheth Pharmacist Sure Drugs Pharmacy, 118-06 101st Ave., South Richmond, NY 11419 2017-08-23
1518408491 Therapy Care Pta P.C. Clinic/Center 10130 116th St, South Richmond Hill, NY 11419 2017-03-13
1285173526 Theresa Home Care Agency Inc Home Health 110-08 Liberty Ave, Richmond, NY 11419 2017-02-20
1750820163 Aisha Khizar Contractor 13214 101st Ave, South Richmond Hill, NY 11419 2017-02-17
1417492778 Bhanmatie Balkaran Licensed Practical Nurse 105-16 135th Street, South Richmond Hill, NY 11419 2016-12-22
1225571011 Nzinga Gillis Behavioral Analyst 104-29 129th Street, South Richmond Hill, NY 11419 2016-11-28
1740738236 Arun Thaker Clinic/Center 130-05 101 Street, 1, Jamaica, NY 11419 2016-09-14
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518566108 Vu Nguyen Corp Podiatrist 8622 Bay Pkwy Ste 2b, Brooklyn, NY 11214-4170 2020-10-23
1255930079 Atlantic Podiatry Pllc Podiatrist 489 Atlantic Ave # 1a, Brooklyn, NY 11217-2985 2020-10-22
1891393906 Finger Lakes Podiatry of Geneva, Pllc Podiatrist 220 Phoenix Mills Plz, Victor, NY 14564-1414 2020-10-12
1497378699 Zh Podiatrist of Westchester PC Podiatrist 150 Edgepark Rd, White Plains, NY 10603-2106 2020-05-21
1528696259 Capital District Podiatry, Pllc Podiatrist 855 Route 146 Bldg B, Clifton Park, NY 12065-3885 2020-03-30
1629615588 Kelly Lucas Dpm PC Podiatrist 925 Hempstead Tpke Ste 110, Franklin Square, NY 11010-3636 2019-12-10
1811544257 Christopher Chow Dpm PC Podiatrist 749 61st St Ste 503, Brooklyn, NY 11220-4211 2019-08-21
1063074565 Balance Foot and Ankle LLC Podiatrist 611 Mitchel Field Way, Garden City, NY 11530-5057 2019-07-03
1083270979 Jones Thomas Podiatrist 518 Terrace Blvd, New Hyde Park, NY 11040-4343 2019-05-15
1316419690 Rockaway Podiatry Pllc Podiatrist 1957 Flatbush Ave, Brooklyn, NY 11234-2819 2018-12-26
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Competitor

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City SOUTH RICHMOND HILL
Zip Code 11419

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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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