Olanrewaju Olamide Olatawura, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P133682 Issued in NY

Practice address

6918 32ND Ave
Woodside, NY 11377-2033

Phone

(718) 286-9479

NPI assigned

May 5, 2025

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

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Internal Medicine Solutions P.C.

  • Internal Medicine Physician
  • Woodside, NY
  • NPI 1467821694

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1376332304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 32ND AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 32ND AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772033",
            "telephone_number": "718-286-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLATAWURA",
        "first_name": "OLANREWAJU",
        "middle_name": "OLAMIDE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P133682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lauren O'Rourke, MHC, CASACT
• Occupational Therapy Concept P.C
• Liam Anthony Oeij
• Cyprian Omeh Ogah, MD
• Josephine Wanjiru Okungu
• May Anne Lorico Oliveros, RN
• Giorlan Sososco Olvido, PT
• Omni Medical Group PLLC
• One to One Physical Therapy PC
• One to One Physical Therapy,PC

• Internal Medicine Physician in Woodside, NY
• Providers in Woodside, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.