Exodus Clinic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EXODUS CLINIC, LLC

Practice address

7 Rieger Dr
Monroe, NY 10950-1628

Phone

(845) 341-0211

Fax

(845) 675-5007

NPI assigned

Jan 26, 2010

Last updated

Jan 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Olanrewaju O Somorin, M.D.

Title

Ceo

Phone

(845) 341-0211

Specialties & licenses 1

Addresses

Tax ID family

Exodus Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Exodus Clinic LLC

  • Clinic/Center
  • Monroe, NY
  • NPI 1689988149
  NPD tax ID

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1558692871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4124",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109418124",
            "telephone_number": "845-341-0211",
            "fax_number": "845-675-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RIEGER DR",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501628",
            "telephone_number": "845-341-0211",
            "fax_number": "845-675-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "SOMORIN",
        "authorized_official_first_name": "OLANREWAJU",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-341-0211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Alice Eugene
• Everkind Doula Inc
• Everthrive Inc.
• Exceldent Dental of Monroe, LLP
• Exodus Clinic LLC
• Exodushealth Medical, PC
• Eye Center Inc.
• Eye Physicians of Orange County PC
• Ezras Choilim Health Center, Inc.
• Joseph Faber, DDS

• Clinic/Center in Monroe, NY
• Providers in Monroe, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.