Individual provider Active NPI

Olukayode Olujare Ojutiku, M.D

  • Internal Medicine Physician
  • Hempstead, NY
National Provider Identifier
1669455929
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
118770 Issued in NY
Practice address
141 Jerusalem Ave
Hempstead, NY 11550-6331
Phone
(516) 538-4760
Fax
(516) 538-8333
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 118770 NY Primary

Addresses

Primary practice location

141 Jerusalem Ave
Hempstead, NY 11550-6331

Mailing address

141 Jerusalem Ave
Hempstead, NY 11550-6331
Phone (516) 538-4760

Other identifiers 1

IdentifierTypeStateIssuer
01232104MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000620 NY Practitioner - Internal Medicine 9638346463 Practice locations: South Ozone Park, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669455929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 JERUSALEM AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115506331",
            "telephone_number": "516-538-4760",
            "fax_number": "516-538-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 JERUSALEM AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115506331",
            "telephone_number": "516-538-4760",
            "fax_number": "516-538-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJUTIKU",
        "first_name": "OLUKAYODE",
        "middle_name": "OLUJARE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "118770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01232104",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.