Individual provider Active NPI

Brianna Olamiju

  • Dermatology Physician
  • Jackson Heights, NY
National Provider Identifier
1710567631
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
330655 Issued in NY
Practice address
3750 72ND St
Jackson Heights, NY 11372-6143
Phone
(844) 692-4692
Fax
(845) 253-4511
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 330655 NY Primary

Addresses

Primary practice location

3750 72ND St
Jackson Heights, NY 11372-6143

Mailing address

281 1St Ave
New York, NY 10003-2925

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
I20250723000875 NY Practitioner - Dermatology 8820504178 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians
Spring Street Dermatology, PLLCGroup PAC ID 7113305517, 11 clinicians

Practice addresses (Care Compare)

75 Spring St
FL 2
New York, NY 10012-4098
Phone (212) 431-4749

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
330655NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Current Accepting new patients
Spring Street Dermatology, PLLC Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Tono Medical Services P.C. Dermatology CurrentSince Jan 28, 2026 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince May 1, 2025 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince May 1, 2025 Accepting new patients

Locations

90 Furman St
#801
Brooklyn, NY 11201
Phone (917) 382-0901

90 Furman St
Brooklyn, NY 11201
Phone (417) 880-7500

3750 72nd St
Jackson Heights, NY 11372
Phone (646) 615-7800

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

4 W 58th St
Fl 13
New York, NY 10019
Phone (212) 431-4749

227 Madison St
New York, NY 10002
Phone (212) 238-7000

75 Spring St
Fl 2
New York, NY 10012
Phone (212) 431-4749

50 Water St
Fl 3
New York, NY 10004

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: bolamiju2143095@nychhc.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1710567631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032925",
            "fax_number": "845-253-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 72ND ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726143",
            "telephone_number": "844-692-4692",
            "fax_number": "845-253-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAMIJU",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "330655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.