Active NPI
Samson Kayode Olojede, PT,DPT
- Physical Therapist
- Rosedale, NY
National Provider Identifier
1598818569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012797
- Practice address
- 23436 Merrick Blvd
Rosedale, NY 11422-1320 - Phone
- (718) 949-9400
- Fax
- (929) 250-1700
- NPI assigned
- Jan 20, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 012797 | NY | Primary |
Addresses
Primary practice location
23436 Merrick Blvd
Rosedale, NY 11422-1320
Mailing address
251 Hungry Harbor Rd
Valley Stream, NY 11581-2804
Phone (516) 668-8210
Other names 1
- Dr. Kayode Samson Olojede
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23436 Merrick Blvd
Rosedale, NY 11422-1320
Phone (718) 949-9400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012797 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laurelton Heart Specialist P.C. | Current | Accepting new patients | |
| New York Luna Care Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Zion Health Solutions, LLC | Past | Accepting new patients |
Locations
1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063
23436 Merrick Blvd
Rosedale, NY 11422
Phone (718) 949-9400
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Laurelton, NY
- NPI 1679769152
-
- Physical Therapist
- Pearl River, NY
- NPI 1194314062
-
- Physical Therapy Clinic/Center
- Valley Stream, NY
- NPI 1275818254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1598818569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 HUNGRY HARBOR RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115812804",
"telephone_number": "516-668-8210",
"fax_number": "516-569-4482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23436 MERRICK BLVD",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114221320",
"telephone_number": "718-949-9400",
"fax_number": "929-250-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLOJEDE",
"first_name": "SAMSON",
"middle_name": "KAYODE",
"name_prefix": "Dr.",
"credential": "PT,DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-20",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "012797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYODE",
"last_name": "OLOJEDE",
"middle_name": "SAMSON",
"prefix": "DR.",
"credential": "DPT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Rosedale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.