Individual provider Active NPI

Jessica Geffrard Oladeinde, MD

  • Physician Assistant
  • Jamaica, NY
National Provider Identifier
1831759380
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
032591 Issued in NY
Practice address
16550 Baisley Blvd
Jamaica, NY 11434-2517
Phone
(718) 528-1503
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT218901 PA
Physician Assistant 363A00000X 032591 NY Primary

Addresses

Primary practice location

16550 Baisley Blvd
Jamaica, NY 11434-2517

Mailing address

11738 220TH St
Cambria Heights, NY 11411-1609
Phone (917) 603-0400

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jessica.oladeinde@americanacademic.com

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
I20260417002926 NY Order and Referring Only - Family PracticePractitioner - Family Practice 5698000842

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1831759380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11738 220TH ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111609",
            "telephone_number": "917-603-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16550 BAISLEY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342517",
            "telephone_number": "718-528-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLADEINDE",
        "first_name": "JESSICA",
        "middle_name": "GEFFRARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT218901",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "032591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jessica.oladeinde@americanacademic.com",
            "affiliation": "N",
            "address_1": "245 N 15th St Fl 6",
            "address_2": "MS 427",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191021198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.