Active NPI
Olaoluwa Oyesoji Oje, PTA
- Physical Medicine & Rehabilitation Physician
- Dix Hills, NY
National Provider Identifier
1750844452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 622096568
- Practice address
- 2 Winthrop Dr
Dix Hills, NY 11746-5739 - Phone
- (631) 220-2591
- NPI assigned
- Apr 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 622096568 | NY | Primary |
Addresses
Primary practice location
2 Winthrop Dr
Dix Hills, NY 11746-5739
Mailing address
2 Winthrop Dr
Dix Hills, NY 11746-5739
Phone (631) 220-2591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 622096568 | Other | NY | HPSO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 622096568 | NY | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1750844452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WINTHROP DR",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465739",
"telephone_number": "631-220-2591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 WINTHROP DR",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465739",
"telephone_number": "631-220-2591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OJE",
"first_name": "OLAOLUWA",
"middle_name": "OYESOJI",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "622096568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPSO",
"identifier": "622096568",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.