Active NPI
Oluwatosin Temitope Oyenuga, DMD, MBS
- Dentist
- New York, NY
National Provider Identifier
1467018838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 061354-01
- Practice address
- 345 E 24TH St
New York, NY 10010-4020 - Phone
- (212) 998-9800
- NPI assigned
- May 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 061354-01 | NY | Primary |
Addresses
Primary practice location
345 E 24TH St
New York, NY 10010-4020
Mailing address
2177 Pacific St Apt 8
Brooklyn, NY 11233-4021
Other practice location 1
1775 Grand Concourse
Bronx, NY 10453-8202
Phone (718) 590-1800
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Tufts University School of Dental Medicine, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
110 W 97 St
New York, NY 10025-6450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061354-01 | NY | MD | Dentist |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1851328199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1467018838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2177 PACIFIC ST APT 8",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112334021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E 24TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104020",
"telephone_number": "212-998-9800"
}
],
"practiceLocations": [
{
"address_1": "1775 Grand Concourse",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104538202",
"country_code": "US",
"telephone_number": "718-590-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OYENUGA",
"first_name": "OLUWATOSIN",
"middle_name": "TEMITOPE",
"name_prefix": "Dr.",
"credential": "DMD, MBS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-11",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "061354-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 6, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.