Individual provider Active NPI

Olanrewaju Olusola Esan, M.D.

  • Pulmonary Disease Physician
  • W Hempstead, NY
National Provider Identifier
1861494239
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
211598 Issued in NY
Practice address
320 Wilson St
Ste 2
W Hempstead, NY 11552-2019
Phone
(516) 485-5864
Fax
(516) 485-0151
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 211598 NY
Pulmonary Disease Physician 207RP1001X 211598 NY Primary

Addresses

Primary practice location

320 Wilson St
Ste 2
W Hempstead, NY 11552-2019

Mailing address

PO Box 2041
West Hempstead, NY 11552-0741
Phone (516) 485-5864

Other identifiers 1

IdentifierTypeStateIssuer
01862808MedicaidNY

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
I20060425000814 NY Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Sleep Medicine 2567472269 Practice locations: W Hempstead, NY

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease, Sleep Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 Wilson St
Suite 2
West Hempstead, NY 11552-2019

Hospital & facility affiliations

  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198
  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211598NYMDCritical Care Medicine (Internal Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: oesan308236@nyumc.direct-ci.com

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1861494239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2041",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115520741",
            "telephone_number": "516-485-5864",
            "fax_number": "516-485-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WILSON ST",
            "address_2": "STE 2",
            "city": "W HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522019",
            "telephone_number": "516-485-5864",
            "fax_number": "516-485-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESAN",
        "first_name": "OLANREWAJU",
        "middle_name": "OLUSOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "211598",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "211598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01862808",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W Hempstead, NY

Sources for this page

Verify at the official NPI Registry.