Active NPI
Folasade Michelle Odeniyi, MD, MPH, MBA
- Student in an Organized Health Care Education/Training Program
- Rochester, NY
National Provider Identifier
1366238867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 601 Elmwood Ave
Rochester, NY 14642-0002 - Phone
- (585) 275-2100
- NPI assigned
- Apr 19, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
601 Elmwood Ave
Rochester, NY 14642-0002
Mailing address
6350 City Ave
Philadelphia, PA 19151-2613
Phone (267) 970-3861
Other practice location 1
1000 South Ave
Rochester, NY 14620-2782
Phone (585) 473-2200
Other practice location 2
913 Culver Rd
Rochester, NY 14609-7141
Phone (585) 654-5432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745020800000",
"number": "1366238867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 CITY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191512613",
"telephone_number": "267-970-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420002",
"telephone_number": "585-275-2100"
}
],
"practiceLocations": [
{
"address_1": "1000 South Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146202782",
"country_code": "US",
"telephone_number": "585-473-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "913 Culver Rd",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146097141",
"country_code": "US",
"telephone_number": "585-654-5432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODENIYI",
"first_name": "FOLASADE",
"middle_name": "MICHELLE",
"credential": "MD, MPH, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-19",
"last_updated": "2025-04-19",
"certification_date": "2025-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.