Active NPI
Ndidi Martins Osunde
- Certified Registered Nurse Anesthetist
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 121630
- Practice address
- 727 Tilden St FL 2
Bronx, NY 10467-6191 - Phone
- (917) 340-4008
- NPI assigned
- Nov 28, 2007
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 121630 | NY | Primary |
Addresses
Primary practice location
727 Tilden St FL 2
Bronx, NY 10467-6191
Mailing address
727 Tilden St FL 2
Bronx, NY 10467-6191
Phone (917) 340-4008
Other practice location 1
1173 Nelson Ave Apt 2A
Bronx, NY 10452-3615
Phone (917) 340-4008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02681056 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Robert Wood Johnson PL
Robert Wood Johnson University Hosp
New Brunswick, NJ 08901-1928
Phone (732) 828-3000
65 James St
Edison, NJ 08820-3947
Phone (201) 854-5000
99 Hwy 37 W
Toms River, NJ 08755-6423
Phone (732) 557-8000
Hospital & facility affiliations
- Robert Wood Johnson University Hospital
- Cooperman Barnabas Medical Center
- JFK University Medical Center
- Community Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121630 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Rwjbh Emergency Medicine Associates, LLC | Current | Accepting new patients | |
| New Jersey Healthcare Specialists PC | Current | Accepting new patients | |
| New York Gi Center LLC | Current | Accepting new patients | |
| 5000 Avenue K Medical Assocs PC | Current | Accepting new patients | |
| Rwjbh Observation Associates LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Parkway Anesthesia Associates LLC | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients |
Locations
65 James St
Edison, NJ 08820
Phone (732) 321-7010
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
1200 Waters Pl
Ste M117
Bronx, NY 10461
Phone (718) 863-0575
1901 Utica Ave
Brooklyn, NY 11234
Phone (718) 520-0857
1901 Utica Ave
#K
Brooklyn, NY 11234
5000 Avenue K
Brooklyn, NY 11234
Phone (718) 629-5590
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
128 Mott St
Ste 202
New York, NY 10013
Phone (347) 417-9089
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 12
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.
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
-
- Anesthesiology Physician
- North Bergen, NJ
- NPI 1518319755
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1770707622
-
- Endoscopy Clinic/Center
- Bronx, NY
- NPI 1336258128
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Anesthesiology Physician
- New York, NY
- NPI 1841239829
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Pediatric Critical Care Medicine Physician
- New Brunswick, NJ
- NPI 1164510400
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1255513610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 TILDEN ST FL 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104676191",
"telephone_number": "917-340-4008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 TILDEN ST FL 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104676191",
"telephone_number": "917-340-4008"
}
],
"practiceLocations": [
{
"address_1": "1173 Nelson Ave Apt 2A",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104523615",
"country_code": "US",
"telephone_number": "917-340-4008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSUNDE",
"first_name": "NDIDI",
"middle_name": "MARTINS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-28",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "121630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02681056",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.