Omotayo Olubiyi, PHD

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

PRC58070 Issued in NM

Practice address

2325 San Pedro Dr NE Ste 2F4-2F5
Albuquerque, NM 87110-4120

Phone

(505) 403-5957

NPI assigned

Feb 8, 2023

Last updated

Feb 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Solace Non Emergency Medical Transport Services LLC

  • Non-emergency Medical Transport (VAN)
  • Albuquerque, NM
  • NPI 1427752005
  NPD Authorized official

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1336846542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 SAN PEDRO DR NE STE 2F4-2F5",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104120",
            "telephone_number": "505-403-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 SAN PEDRO DR NE STE 2F4-2F5",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104120",
            "telephone_number": "505-403-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUBIYI",
        "first_name": "OMOTAYO",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NM",
            "license": "PRC58070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Olson, LCSW
• Ty Conrad Olson
• Veronica A. Olson, LSW
• Erika M Olsson
• Alan Robert Olster, LISW
• Kathleen Omalley, LPCC PHD
• Brigette Oman, CCSS
• Michael Joseph Oman
• Stephanie Rabara Omer
• Laura Audrey Omidvaran, R.D.

• Non-emergency Medical Transport (VAN) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Non-emergency Medical Transport (VAN) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.