Active NPI
Oreoluwa Ojutiku, M.D.
- Diagnostic Radiology Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 267399
- Practice address
- 30 Prospect Ave
Hackensack, NJ 07601-1914 - Phone
- (201) 996-2200
- Fax
- (201) 489-2812
- NPI assigned
- Feb 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 047516 | CT | |
| Diagnostic Radiology Physician | 2085R0202X | 25MA08753300 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | 267399 | NY | Primary |
Addresses
Primary practice location
30 Prospect Ave
Hackensack, NJ 07601-1914
Mailing address
506 Lenox Ave
6TH Floor
New York, NY 10037-1802
Phone (212) 939-8065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0232114 | Medicaid | NJ |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840
Hospital & facility affiliations
- Harlem Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08753300 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Downtown Bronx Medical Associates PC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Metropolitan Medical Practice Plan PC | Current | Accepting new patients | |
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients | |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Harlem Medical Associates PC | Current | Accepting new patients | |
| Hackensack Radiology Group PA | Diagnostic Radiology | Past | Accepting new patients |
Locations
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
227 Madison St
Fl 1
New York, NY 10002
Phone (212) 238-7815
227 Madison St
New York, NY 10002
Phone (212) 238-7000
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
506 Malcolm X Blvd
Fl 6
New York, NY 10037
Phone (212) 939-1037
264 W 118th St
New York, NY 10026
Phone (212) 932-6500
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
50 Water St
Fl 3
New York, NY 10004
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- oojutiku680335@nychhc.direct-ci.com
Organizations & group practices 8
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.
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- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- General Practice Physician
- New York, NY
- NPI 1487957692
-
- General Practice Physician
- New York, NY
- NPI 1306138383
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Diagnostic Radiology Physician
- Hackensack, NJ
- NPI 1306864343
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1033124961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442188800000",
"number": "1104004605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 LENOX AVE",
"address_2": "6TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100371802",
"telephone_number": "212-939-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011914",
"telephone_number": "201-996-2200",
"fax_number": "201-489-2812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OJUTIKU",
"first_name": "OREOLUWA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-06",
"last_updated": "2015-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "047516",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA08753300",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "267399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0232114",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.