Individual provider Active NPI

Ndidi Martins Osunde

  • Certified Registered Nurse Anesthetist
  • Bronx, NY
National Provider Identifier
1255513610
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
121630 Issued in NY
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

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02681056MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180406000862 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820351760 Reassigns benefits to 4 organizations
I20220311001459 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820351760 Reassigns benefits to 5 organizations

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
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians
Rutgers Health-RWJ Pediatric Critical CareGroup PAC ID 1355390287, 153 clinicians
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians

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 Hospital, New Brunswick, NJ, CCN 310038
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
121630NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York CurrentSince Oct 1, 2018 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC CurrentSince Oct 6, 2025 Accepting new patients
New Jersey Healthcare Specialists PC CurrentSince Dec 1, 2022 Accepting new patients
New York Gi Center LLC CurrentSince Nov 5, 2019 Accepting new patients
5000 Avenue K Medical Assocs PC CurrentSince Oct 1, 2021 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Oct 6, 2025 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Aug 15, 2019 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Oct 6, 2025 Accepting new patients
Trustees of Columbia University in the City of New York Nurse Anesthetist, Certified Registered CurrentSince Mar 5, 2018 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Oct 6, 2025 Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Feb 8, 2022 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Oct 1, 2018 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

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.