Oluremi Ogunsanya, D.D.S

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

058374-1 Issued in NY

Practice address

1610 E 19TH St Ste 1
Brooklyn, NY 11229-1375

Phone

(718) 576-6999

NPI assigned

May 6, 2011

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Jun 2, 2023 through Jun 2, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1740572841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3273 PARKSIDE PL APT 2C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104674931",
            "telephone_number": "646-769-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 E 19TH ST STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291375",
            "telephone_number": "718-576-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNSANYA",
        "first_name": "OLUREMI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-06",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "058374-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwole Emmanuel Ogunmola
• Tejuola Ogunniyi-Mundy
• Olufunke Ogunrinu, MS, CDN
• Ajoke Idiat Ogunsakin, M.D.
• Elizabeth Ogunsanya, MD
• Olufemi Ogunsemi, DDS
• Abisoye Ogunsusi
• Kehinde Akin Ogunsusi
• Stella Ogunsuyi, MS.ED
• Olawunmi Oguntade

• Oral and Maxillofacial Surgery (Dentist) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.