Active NPI
Omseti Otway
- Attendant Care Provider
- Brooklyn, NY
National Provider Identifier
1336053990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 325 Clinton Ave Apt 9E
Brooklyn, NY 11205-4723 - Phone
- (404) 883-6096
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- 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 |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
325 Clinton Ave Apt 9E
Brooklyn, NY 11205-4723
Mailing address
4246 Miners Creek Rd
Stonecrest, GA 30038-3813
Phone (404) 883-6096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1336053990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4246 MINERS CREEK RD",
"city": "STONECREST",
"state": "GA",
"postal_code": "300383813",
"telephone_number": "404-883-6096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 CLINTON AVE APT 9E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112054723",
"telephone_number": "404-883-6096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTWAY",
"first_name": "OMSETI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.