Individual provider Active NPI

Olanrewaju Olayinka Somorin, MD

  • Addiction Psychiatry Physician
  • Monroe, NY
National Provider Identifier
1679661979
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
212042 Issued in NY
Practice address
1200 State Route 208 Ste 15
Monroe, NY 10950-4649
Phone
(845) 837-1635
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 212042 NY Primary
Addiction Psychiatry Physician 2084P0802X 39171 SC

Addresses

Primary practice location

1200 State Route 208 Ste 15
Monroe, NY 10950-4649

Mailing address

1200 State Route 208 Ste 15
Monroe, NY 10950-4649
Phone (845) 281-5009

Other practice location 1

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 324-3500

Other identifiers 1

IdentifierTypeStateIssuer
02181982MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041108000914 NY Practitioner - PsychiatryPractitioner - Addiction Medicine 1557324852 Reassigns benefits to 4 organizations
I20200406000214 CT Practitioner - Psychiatry 1557324852 Reassigns benefits to 1 organization
I20230711001382 SC Practitioner - Psychiatry 1557324852

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norwalk Community Health Center IncGroup PAC ID 6305988510, 29 clinicians
Access Supports for Living IncGroup PAC ID 8729992730, 41 clinicians
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

120 Connecticut Ave
Norwalk, CT 06854-1525
Phone 20389917708005

1200 State Route 208
Suite 15
Monroe, NY 10950-4649
Phone (845) 281-5009

16 Union St
Middletown, NY 10940-4906
Phone (845) 343-5556

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Oct 15, 2023 Accepting new patients
Exodushealth Medical, PC CurrentSince May 31, 2017 Accepting new patients
Access: Supports for Living Inc CurrentSince Feb 25, 2016 Accepting new patients
Hudson Vista Medical,PC CurrentSince Mar 10, 2019 Accepting new patients
Access: Supports for Living Inc. CurrentSince Feb 25, 2016 Accepting new patients
Albany Medical College CurrentSince Oct 15, 2023 Accepting new patients
Norwalk Community Health Center Inc CurrentSince Mar 8, 2023 Accepting new patients
Albany Medical College CurrentSince Oct 15, 2023 Accepting new patients

Locations

120 Connecticut Ave
Norwalk, CT 06854
Phone (203) 851-1000

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149

19 Laurel Ave
Ste LL1
Cornwall, NY 12518
Phone (845) 534-7080

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

16 Union St
Middletown, NY 10940
Phone (845) 343-5556

1200 State Route 208
Monroe, NY 10950
Phone (845) 782-2260

1200 State Route 208
Ste 15
Monroe, NY 10950
Phone (845) 549-1010

67 Windsor Hwy
Newburgh, NY 12553
Phone (845) 562-6850

15 Fortune Rd W
Scotchtown, NY 10941
Phone (845) 673-7123

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDGCD

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1679661979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 STATE ROUTE 208 STE 15",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504649",
            "telephone_number": "845-281-5009",
            "fax_number": "845-913-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STATE ROUTE 208 STE 15",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504649",
            "telephone_number": "845-837-1635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Herlong Ave S",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321158",
            "country_code": "US",
            "telephone_number": "803-324-3500",
            "fax_number": "803-327-8505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMORIN",
        "first_name": "OLANREWAJU",
        "middle_name": "OLAYINKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "212042",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "SC",
            "license": "39171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02181982",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

Verify at the official NPI Registry.