Faith Oritsematosan Osime, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

259018 Issued in NY

Practice address

2422 Matthews Ave
Bronx, NY 10467-9212

Phone

(718) 547-4413

NPI assigned

May 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Concourse Medical Office P C

  • Pulmonary Disease Physician
  • Bronx, NY
  • NPI 1568698132
  Medicare reassignment NPD

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1871760033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 MATTHEWS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104679212",
            "telephone_number": "718-547-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 MATTHEWS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104679212",
            "telephone_number": "718-547-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSIME",
        "first_name": "FAITH",
        "middle_name": "ORITSEMATOSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "625",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "259018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Symone Oshiro, PSY.D
• Myriame Osias-Louis
• Adetutu Osibanjo, LPN
• Willard Osibin III, DDS
• Augustine Osijo, RN
• Samuel Osin
• Alda M Osinaga, MD
• Adenike Osinowo, PHARM.D
• Elizabeth Osinowo, LPN
• Elsie Onome Osiogo, MD

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.