Individual provider Active NPI

Tolulope Ogundeyi, FNP

  • Family Nurse Practitioner
  • Valley Stream, NY
National Provider Identifier
1811361306
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340062 Issued in NY
Practice address
420 N Corona Ave
Unit 3
Valley Stream, NY 11580-2602
Phone
(908) 494-2144
NPI assigned
Nov 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340062 NY Primary

Addresses

Primary practice location

420 N Corona Ave
Unit 3
Valley Stream, NY 11580-2602

Mailing address

420 N Corona Ave Unit 3
Valley Stream, NY 11580-2676
Phone (516) 846-1277

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415001061 NY Order and Referring Only - Nurse Practitioner 5991062812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
340062NYMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1811361306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N CORONA AVE UNIT 3",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802676",
            "telephone_number": "516-846-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N CORONA AVE",
            "address_2": "UNIT 3",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802602",
            "telephone_number": "908-494-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDEYI",
        "first_name": "TOLULOPE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.