Olajide F Olawepo, M.D

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

224311 Issued in NY

Practice address

5115 Beach Channel Dr
Far Rockaway, NY 11691-1042

Phone

(718) 734-2320

Fax

(718) 734-3015

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Peninsula Medical Services PC

  • Pediatric Orthopaedic Surgery Physician
  • Far Rockaway, NY
  • NPI 1609095280
  NPD (past)
• Governor Juan F. Luis Hospital & Medical Center

  • General Acute Care Hospital
  • Christiansted, St. Croix, VI
  • NPI 1972503647
  NPD (past)
• Pediatric Care Center LLC

  • Pediatrics Physician
  • Christiansted, VI
  • NPI 1619186087
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407073992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911042",
            "telephone_number": "718-734-2320",
            "fax_number": "718-734-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911042",
            "telephone_number": "718-734-2320",
            "fax_number": "718-734-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAWEPO",
        "first_name": "OLAJIDE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "224311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella N Okafor, RN
• Valerie Okonkwo
• Titiayo Elizabeth Olabode
• Esther Olajide
• Olutayo Olaide Olasupo, MD
• Samuel O Olawoyin, RN
• Maria Romina Gayeta Olimberio, PT
• Melissa Oliver, DOULA
• Patricia Ann Ollquist
• Ifedola Olowe, HS-BCP 2303

• All providers in Far Rockaway, NY
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.