Individual provider Active NPI

Morolake M Ojo, M.D.

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1316392632
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD468635 Issued in PA
Practice address
355 Bard Ave
Department of Medicine Villa BLDG 1St Floor
Staten Island, NY 10310-1664
Phone
(718) 818-2419
NPI assigned
Apr 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 300445 NY
Internal Medicine Physician 207R00000X MD468635 PA Primary

Addresses

Primary practice location

355 Bard Ave
Department of Medicine Villa BLDG 1St Floor
Staten Island, NY 10310-1664

Mailing address

355 Bard Ave
Department of Medicine Villa BLDG 1St Floor
Staten Island, NY 10310-1664
Phone (718) 818-2419

Other practice location 1

1200 Old York Rd Ste 2B
Abington, PA 19001-3720
Phone (215) 481-2222

Other practice location 2

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-1653

Other names 1

  • Dr. Morolake Remi-Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200401001108 PA Practitioner - HospitalistPractitioner - Internal Medicine 8820335862 Reassigns benefits to 2 organizations
I20230308002127 NY Practitioner - Hospitalist 8820335862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians

Practice addresses (Care Compare)

1200 Old York Rd
Suite 2B
Abington, PA 19001-3720
Phone (215) 481-2222

1203 Langhorne Newtown Rd
Suite 226
Langhorne, PA 19047-1224
Phone (215) 757-7212

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Internal Medicine CurrentSince Mar 2, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Mar 2, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Abington Memorial Hospital Past Accepting new patients

Locations

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

355 Bard Ave
Bldg 1ST
Staten Island, NY 10310
Phone (718) 720-1222

1203 Langhorne Newtown Rd
Ste 226
Langhorne, PA 19047
Phone (215) 710-4460

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

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.

Hospital & facility affiliations 1

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": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1316392632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 BARD AVE",
            "address_2": "DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101664",
            "telephone_number": "718-818-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BARD AVE",
            "address_2": "DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101664",
            "telephone_number": "718-818-2419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Old York Rd Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "PA",
            "postal_code": "190013720",
            "country_code": "US",
            "telephone_number": "215-481-2222",
            "fax_number": "215-481-4361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "212-241-1653",
            "fax_number": "212-289-6393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OJO",
        "first_name": "MOROLAKE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "300445",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD468635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOROLAKE",
            "last_name": "REMI-JOHNSON",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.