Individual provider Active NPI

Ayo Ogunlusi, MCD

  • Audiologist
  • Staten Island, NY
National Provider Identifier
1033199211
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001496 Issued in NY
Practice address
782 Klondike Ave
Staten Island, NY 10314-4824
Phone
(718) 982-5124
Fax
(718) 982-0494
NPI assigned
Jan 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001496 NY Primary

Addresses

Primary practice location

782 Klondike Ave
Staten Island, NY 10314-4824

Mailing address

782 Klondike Ave
Staten Island, NY 10314-4824
Phone (718) 982-5124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090430000119 NJ Practitioner - Qualified Audiologist 5597782029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean Audiology IncGroup PAC ID 7214361674, 4 clinicians
NJ Audiology Group IncGroup PAC ID 2769865476, 3 clinicians

Practice addresses (Care Compare)

36 Newark Ave
Suite 130
Belleville, NJ 07109-4120
Phone (973) 528-2690

8901 Kennedy Blvd
Suite 4S
North Bergen, NJ 07047-5345
Phone (201) 472-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Audiology Inc Audiologist CurrentSince Dec 15, 2021 Accepting new patients
NJ Audiology Group Inc CurrentSince Feb 14, 2024 Accepting new patients
NJ Audiology Group Inc Past Accepting new patients
Northern Jersey Ear, Nose & Throat Associates, P.a. Past Accepting new patients

Locations

548 Broadway
Bayonne, NJ 07002
Phone (201) 339-4375

36 Newark Ave
Ste 130
Belleville, NJ 07109
Phone (973) 450-2710

26 Journal Sq
Ste 306
Jersey City, NJ 07306
Phone (201) 721-5355

8901 Kennedy Blvd
Ste 4S
North Bergen, NJ 07047
Phone (201) 374-1718

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033199211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 KLONDIKE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144824",
            "telephone_number": "718-982-5124",
            "fax_number": "718-982-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 KLONDIKE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144824",
            "telephone_number": "718-982-5124",
            "fax_number": "718-982-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNLUSI",
        "first_name": "AYO",
        "name_prefix": "Ms.",
        "credential": "MCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.