Individual provider Active NPI

Oluwatosin Ademola Ogunjemilusi, MD-MAY 10, 2012

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
National Provider Identifier
1457627630
Registry record updated Apr 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
2032026 Issued in NY
Practice address
50 E 98TH St
Apt 4I-1
New York, NY 10029-6552
Phone
(646) 301-5738
NPI assigned
Apr 1, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 2032026 NY Primary

Addresses

Primary practice location

50 E 98TH St
Apt 4I-1
New York, NY 10029-6552

Mailing address

50 E 98TH St
Apt 4I-1
New York, NY 10029-6552
Phone (646) 301-5738

Other names 1

  • Dr. Tosin Ademola Jemilusi Professional name

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

State licenses

LicenseStateTypeSpecialty
2032026NYMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333238400000",
    "number": "1457627630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 98TH ST",
            "address_2": "APT 4I-1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296552",
            "telephone_number": "646-301-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E 98TH ST",
            "address_2": "APT 4I-1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296552",
            "telephone_number": "646-301-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNJEMILUSI",
        "first_name": "OLUWATOSIN",
        "middle_name": "ADEMOLA",
        "name_prefix": "Dr.",
        "credential": "MD-MAY 10, 2012",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-01",
        "last_updated": "2012-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "2032026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOSIN",
            "last_name": "JEMILUSI",
            "middle_name": "ADEMOLA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2012; 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.