Omolola Linda Ishola, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

356371 Issued in NY

Practice address

40 Fulton St
New York, NY 10038-1850

Phone

(212) 658-1046

NPI assigned

Mar 26, 2025

Last updated

Mar 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Well Medical Care PCGroup PAC ID 9638616485, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Well Medical Care PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1699427336
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1881496297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 LINDE VISTA DR",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923773413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FULTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381850",
            "telephone_number": "212-658-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHOLA",
        "first_name": "OMOLOLA",
        "middle_name": "LINDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "356371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shuta Ishigami
• Michael Denis Ishii, L.AC.
• Oki Ishikawa
• Yuko Ishikawa
• Yoshiko Ishisaka, MD
• Ghislaine Isidore, MD
• Rosanna Claudine Hernandez Isidro, RN
• Tracey Contreras Isidro, MD
• Oliver Gibran Isik, MD MS
• Savi Isinkaunan

• Family Nurse Practitioner in New York, NY
• Providers in New York, 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 Mar 26, 2025; 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.