Individual provider Active NPI

Olamide Tubi, NP

  • Adult Health Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1437605664
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F307804 Issued in NY
Practice address
3000 Marcus Ave Ste 2W15
New Hyde Park, NY 11042-1005
Phone
(855) 201-4988
NPI assigned
Aug 28, 2016
Last updated
Mar 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F307804 NY Primary

Addresses

Primary practice location

3000 Marcus Ave Ste 2W15
New Hyde Park, NY 11042-1005

Mailing address

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

Other practice location 1

11 Franklin Pl
Woodmere, NY 11598-1216
Phone (516) 341-0151

Other practice location 2

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 299-7295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161107000184 NY Practitioner - Nurse Practitioner 8123306586 Reassigns benefits to 4 organizations
I20220502002271 NJ Practitioner - Nurse Practitioner 8123306586 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F307804NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essential OT, PT, SLP & Psychology Services, PLLC CurrentSince Mar 14, 2023 Accepting new patients
NP Visits of New Jersey, LLC Adult Health CurrentSince Dec 30, 2021 Accepting new patients
NP Family Health Visits & NP Adult Health Visits, PLLC Adult Health CurrentSince Oct 29, 2019 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Essen Medical Associates,PC CurrentSince Jul 1, 2018 Accepting new patients
Essen Medical Associates, PC CurrentSince Jul 1, 2018 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jul 1, 2018 Accepting new patients
Essential Therapy Services of NJ PastSince Aug 1, 2021 Accepting new patients

Locations

100 Enterprise Dr
Ste 301
Rockaway, NJ 07866
Phone (845) 800-9305

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

Interoperability endpoints

  • Direct secure messaging: otubi@landmarkhealth-direct.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1437605664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-299-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARCUS AVE STE 2W15",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421005",
            "telephone_number": "855-201-4988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Franklin Pl",
            "address_purpose": "LOCATION",
            "city": "Woodmere",
            "state": "NY",
            "postal_code": "115981216",
            "country_code": "US",
            "telephone_number": "516-341-0151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10453",
            "country_code": "US",
            "telephone_number": "718-299-7295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUBI",
        "first_name": "OLAMIDE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.