Individual provider Active NPI

Olufunmilola Abiodun Ojo, FNP

  • Family Nurse Practitioner
  • Endicott, NY
National Provider Identifier
1285365890
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346278 Issued in NY
Practice address
Absolut Center for Rehabilitation and Nursing
301 Nantucket Dr
Endicott, NY 13760-2735
Phone
(607) 624-2307
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346278 NY Primary

Addresses

Primary practice location

Absolut Center for Rehabilitation and Nursing
301 Nantucket Dr
Endicott, NY 13760-2735

Mailing address

2301 Hemlock LN
Vestal, NY 13850-2632
Phone (607) 624-2307

Other practice location 1

2301 Hemlock Ln
Vestal, NY 13850-2632
Phone (607) 624-2307

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250123002268 NY Practitioner - Nurse Practitioner 1456880269 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
346278NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Jan 27, 2025 Accepting new patients
New York General Medical Services PC CurrentSince Jan 27, 2025 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Jan 27, 2025 Accepting new patients

Locations

301 Nantucket Dr
Endicott, NY 13760
Phone (607) 754-2700

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

4241 201st St
Flushing, NY 11361
Phone (516) 599-5688

2090 Albany Post Rd
Montrose, NY 10548
Phone (914) 788-6003

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

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.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1285365890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HEMLOCK LN",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502632",
            "telephone_number": "607-624-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ABSOLUT CENTER FOR REHABILITATION AND NURSING",
            "address_2": "301 NANTUCKET DR",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137602735",
            "telephone_number": "607-624-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Hemlock Ln",
            "address_purpose": "LOCATION",
            "city": "Vestal",
            "state": "NY",
            "postal_code": "138502632",
            "country_code": "US",
            "telephone_number": "607-624-2307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OJO",
        "first_name": "OLUFUNMILOLA",
        "middle_name": "ABIODUN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endicott, NY

Sources for this page

Verify at the official NPI Registry.