Organization Active NPI

Oluwafemi Odeyale Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Staten Island, NY
National Provider Identifier
1649692930
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006528 Issued in NY
Legal business name
OLUWAFEMI ODEYALE PODIATRY PC
Practice address
82 Saint Marks PL
Apt 1I
Staten Island, NY 10301-1644
Phone
(718) 954-1744
NPI assigned
Jan 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Authorized official

Name
Dr. Oluwafemi S Odeyale, DPM
Title
Ceo
Phone
(718) 954-1744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 006528 NY Primary

Addresses

Primary practice location

82 Saint Marks PL
Apt 1I
Staten Island, NY 10301-1644

Mailing address

82 Saint Marks PL
Apt 1I
Staten Island, NY 10301-1644
Phone (718) 954-1744

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1649692930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SAINT MARKS PL",
            "address_2": "APT 1I",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011644",
            "telephone_number": "718-954-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 SAINT MARKS PL",
            "address_2": "APT 1I",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011644",
            "telephone_number": "718-954-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUWAFEMI ODEYALE PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "ODEYALE",
        "authorized_official_first_name": "OLUWAFEMI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-954-1744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.