Kayode Odutayo MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KAYODE ODUTAYO MD PLLC

Practice address

1000 Pelham Pkwy S
Bronx, NY 10461-1003

Phone

(631) 209-5369

NPI assigned

May 3, 2024

Organization subpart

No

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

Authorized official

Name

Kayode Odutayo, MDNPI 1790118875

Title

MD/Owner

Phone

(631) 209-5369

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kayode Odutayo, M.D

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1790118875
  Authorized official Same address or phone

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1427805746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MOTOR PKWY STE 4012324",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885145",
            "telephone_number": "631-209-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611003",
            "telephone_number": "631-209-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYODE ODUTAYO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "ODUTAYO",
        "authorized_official_first_name": "KAYODE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "631-209-5369",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Kay
• Aliza Kaye, DDS
• Ross Ian Kaye, D.O
• Simeon Kaymaktchiev
• Kaymiles Transportation LLC
• Peggy Kayumba, LPN
• Katherine Kazak, DDS
• Valeri I Kazakov, MD
• Korina Kazan, PHARM.D.
• Jonathan Kazdan, D.C.

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, 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 3, 2024; 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.