Organization Active NPI

Dosu Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
National Provider Identifier
1801243183
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DOSU MEDICAL PC
Practice address
1150 Webster Ave
Suite 2
Bronx, NY 10456-5205
Phone
(347) 271-7666
NPI assigned
May 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Dr. Thomas Omotola Teyibo, M.D
Title
President
Phone
(347) 265-1986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1150 Webster Ave
Suite 2
Bronx, NY 10456-5205

Mailing address

1135 Allerton Ave
Bronx, NY 10469-5316
Phone (347) 427-2953

Other identifiers 1

IdentifierTypeStateIssuer
1871686097OtherNYNPI

National Provider Directory

National Provider Directory

Locations

407 Rockaway Ave
Brooklyn, NY 11212
Phone (347) 639-0500

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1801243183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695316",
            "telephone_number": "347-427-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 WEBSTER AVE",
            "address_2": "SUITE 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104565205",
            "telephone_number": "347-271-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOSU MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "TEYIBO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "OMOTOLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-265-1986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871686097",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.