Active NPI
Soji Oluwole, M.D.
- Surgery Physician
- New York, NY
National Provider Identifier
1023040045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 123672
- Practice address
- 1879 Madison Ave
New York, NY 10035-2709 - Phone
- (212) 423-4500
- Fax
- (212) 423-4095
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 123672 | NY | Primary |
Addresses
Primary practice location
1879 Madison Ave
New York, NY 10035-2709
Mailing address
1879 Madison Ave
New York, NY 10035-2709
Phone (212) 423-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123672 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harlem Medical Associates PC | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients | |
| North General Physician Services PLLC | Surgery | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- New York, NY
- NPI 1487957692
-
- Internal Medicine Physician
- New York, NY
- NPI 1851315337
Surgery
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023040045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1879 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100352709",
"telephone_number": "212-423-4500",
"fax_number": "212-423-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1879 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100352709",
"telephone_number": "212-423-4500",
"fax_number": "212-423-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLUWOLE",
"first_name": "SOJI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "123672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.