Omotunde D Aderin, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

344814 Issued in NY

Practice address

1 Winter LN
Amityville, NY 11701-1626

Phone

(917) 653-0577

NPI assigned

Jul 26, 2019

Last updated

Jul 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Bedford Stuyvesant Family Health Center IncGroup PAC ID 0143361238, 31 clinicians

Morris Heights Health Center, Inc.Group PAC ID 3072798172, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DFDFAA
• Direct secure messaging: omotunde.aderin.p1@direct.mhhc.nextgenshare.com
• Direct secure messaging: omotundeaderin@mai.allscriptsdirect.net

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

• Bedford Stuyvesant Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1033178561

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Crystal Health Care Nurse Practitioner in Family Health P.C.

  • Family Nurse Practitioner
  • Jamaica, NY
  • NPI 1376333930

  Single Specialty

  Medicare reassignment NPD Authorized official
• Morris Heights Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1184694291

  Single Specialty

  Medicare reassignment Care Compare group NPD (past)
• Exedus Family Healthcare & Wellness Care Services LLC

  • Primary Care Clinic/Center
  • Jamaica, NY
  • NPI 1023791928
  Authorized official Same address or phone
• Bedford Stuyvesant Family Health Center, Inc.

  dba Sterling Family Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1528836590
  NPD
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Morris Heights Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1104374685
  NPD
• Morris Heights Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1669912341
  NPD

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1881248938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WINTER LN",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011626",
            "telephone_number": "917-653-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WINTER LN",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011626",
            "telephone_number": "917-653-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADERIN",
        "first_name": "OMOTUNDE",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Abraham, DO
• David Neil Abramowitz, D.M.D.
• Maryam Abubakar, AGNP-C
• Accelerated Physical Therapy P.C.
• Achieving Outcomes ABA Solutions
• Gloria Adu-Menkah
• Amanda Agostino
• Juliet M Ahl, LCSW
• Hannah Kathleen Aissa
• Asra Ali Akber, M.D.

• Family Nurse Practitioner in Amityville, NY
• Providers in Amityville, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.

Verify at the official NPI Registry.