Individual provider Active NPI

Tolulope Damilola Ojeyemi, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1013241223
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F335437-1 Issued in NY
Practice address
447 Atlantic Ave
Brooklyn, NY 11217-1702
Phone
(718) 858-6300
Fax
(718) 858-0145
NPI assigned
Sep 22, 2009
Last updated
Nov 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008358 CA
Family Nurse Practitioner 363LF0000X F335437-1 NY Primary

Addresses

Primary practice location

447 Atlantic Ave
Brooklyn, NY 11217-1702

Mailing address

55 Water Street
2ND Floor Cred Dept
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

738 Bancroft Rd
Walnut Creek, CA 94598-1531
Phone (925) 938-8525

Other practice location 2

222 E 34th St
New York, NY 10016-4842
Phone (631) 835-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091030000055 NY Practitioner - Nurse Practitioner 2163569708 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Group of New York PCGroup PAC ID 2567642044, 61 clinicians
Manhattan Internal Medicine Associates PCGroup PAC ID 9537137575, 7 clinicians

Practice addresses (Care Compare)

107 S Country Rd
Bellport, NY 11713-2523
Phone (866) 389-2727

145 E 32 St
Suite 303
New York, NY 10016-6055
Phone (212) 725-5300

156 Henry St
Brooklyn, NY 11201-2504
Phone (866) 389-2727

1619 Broadway
New York, NY 10019-7412
Phone (866) 389-2727

215 Park Ave S
New York, NY 10003-1603
Phone (866) 389-2727

298 Mulberry St
New York, NY 10012-3331
Phone (866) 389-2727

330 Route 304
Bardonia, NY 10954-1627
Phone (866) 389-2727

375 White Plains Rd
Eastchester, NY 10709-2826
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F335437-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Nov 28, 2022 Accepting new patients
Advantagecare Physicians PC CurrentSince Nov 28, 2022 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Jul 17, 2020 Accepting new patients

Locations

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

447 Atlantic Ave
Brooklyn, NY 11217
Phone (718) 421-2131

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

740 64th St
Brooklyn, NY 11220
Phone (718) 439-2000

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

55 Water St
Fl 2
New York, NY 10041

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CDADDD/Endpoint/CDADDD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1013241223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER STREET",
            "address_2": "2ND FLOOR CRED DEPT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171702",
            "telephone_number": "718-858-6300",
            "fax_number": "718-858-0145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "738 Bancroft Rd",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945981531",
            "country_code": "US",
            "telephone_number": "925-938-8525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 E 34th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100164842",
            "country_code": "US",
            "telephone_number": "631-835-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OJEYEMI",
        "first_name": "TOLULOPE",
        "middle_name": "DAMILOLA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008358",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335437-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.