Active NPI
Olateju Odumosu, FNP-BC, NP-C
- Family Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 345444
- Practice address
- 2015 Grand Concourse
Bronx, NY 10453-4303 - Phone
- (718) 299-7295
- Fax
- (718) 299-6797
- NPI assigned
- Jan 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Nurse Practitioner | 363LF0000X | 345444 | NY | Primary |
Addresses
Primary practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Mailing address
1434 Williamsbridge Rd FL 2
Bronx, NY 10461-2507
Phone (718) 618-0401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sun River Health Inc.
Practice addresses (Care Compare)
10 N Wood Ave
Suite B1
Linden, NJ 07036-5200
Phone (908) 279-5785
100 N Howard St
Suite W
Spokane, WA 99201-0508
Phone (908) 613-8182
1037 Main St
Peekskill, NY 10566-2913
Phone (914) 734-8800
1200 Brown St
Peekskill, NY 10566-2913
2025 Central Park Ave
Suite 203
Yonkers, NY 10710-2427
Phone (401) 952-8675
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Essen Medical Urgicare, PLLC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Essen Medical Associates,PC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Sun River Health Inc. | Current | Accepting new patients | |
| Sun River Health Inc | Current | Accepting new patients | |
| Henry Ibitokun LLC | Family | Past | Accepting new patients |
| Orenda Psychiatry PLLC | Past | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125
1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
545 E 142nd St
Bronx, NY 10454
Phone (718) 579-1719
1225 Gerard Ave
Bronx, NY 10452
Phone (718) 960-2777
8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
227 Madison St
New York, NY 10002
Phone (212) 238-7000
50 Water St
Fl 3
New York, NY 10004
503 S Broadway
Ste 210
Yonkers, NY 10705
Phone (914) 965-9771
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 14
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Yonkers, NY
- NPI 1932776952
NJ, WA
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Urgent Care Clinic/Center
- Bronx, NY
- NPI 1841607298
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Legal Medicine (M.D./D.O.) Physician
- Jamaica, NY
- NPI 1700023926
-
- Clinic/Center
- Bronx, NY
- NPI 1134137375
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Adult Day Care Clinic/Center
- Bronx, NY
- NPI 1740763275
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1881225977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 WILLIAMSBRIDGE RD FL 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104612507",
"telephone_number": "718-618-0401",
"fax_number": "347-479-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534303",
"telephone_number": "718-299-7295",
"fax_number": "718-299-6797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODUMOSU",
"first_name": "OLATEJU",
"credential": "FNP-BC, NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-28",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "345444",
"primary": true
}
],
"identifiers": [],
"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 Feb 27, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.