Olutayo Olukoya

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1216892 Issued in CT

Practice address

3780 Main St
Bridgeport, CT 06606-3610

Phone

(203) 870-8987

Fax

(203) 870-8988

NPI assigned

Apr 17, 2016

Last updated

Sep 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Modern Care Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Bridgeport, CT
  • NPI 1033563770
  NPD (past) Authorized official

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

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1619321528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063610",
            "telephone_number": "203-870-8987",
            "fax_number": "203-870-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063610",
            "telephone_number": "203-870-8987",
            "fax_number": "203-870-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUKOYA",
        "first_name": "OLUTAYO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-17",
        "last_updated": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "1216892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine C. Oliveira, MD
• Liam P Oliver, PA-C
• Luz M Oliver, LCSW
• Jose A Olmo, LCSW LICENSED CLINIC
• Alan Olson
• Sofia Oluwole, MD, PHD
• Joann Omisore, LMSW
• Jesutofunmi Adesanmi Omiye
• Luz Evelyn Omondi, M.D.
• One Accord Wellness Center LLC

• Durable Medical Equipment & Medical Supplies in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; 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.