Individual provider Active NPI

Oluwaseun Akangbe, M.D

  • Family Medicine Physician
  • Willow Street, PA
National Provider Identifier
1891146452
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD488136 Issued in PA
Practice address
2605 Willow Street Pike N
Willow Street, PA 17584-9510
Phone
(717) 464-2838
Fax
(717) 723-4365
NPI assigned
Jun 24, 2016
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD488136 PA Primary

Addresses

Primary practice location

2605 Willow Street Pike N
Willow Street, PA 17584-9510

Mailing address

2605 Willow Street Pike N
Willow Street, PA 17584-9510
Phone (717) 464-2838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190916001551 NJ Practitioner - Family Practice 5496084576 Reassigns benefits to 3 organizations
I20250422002603 PA Practitioner - Family Practice 5496084576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2605 Willow St Pike
Penn State Med GRP South Lancaster
Willow Street, PA 17584-9510
Phone (717) 464-2838

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD488136PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical Group PC CurrentSince Nov 2, 2021 Accepting new patients
Rwjbh Primary Care Services Family Medicine CurrentSince Jul 20, 2023 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
St. Joseph's Healthcare, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients

Locations

1135 Broad St
Ste 201
Clifton, NJ 07013
Phone (973) 754-4100

600 Pavonia Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 216-3030

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

220 Hamburg Tpke
Ste 4
Wayne, NJ 07470
Phone (973) 389-6022

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

Interoperability endpoints

  • Direct secure messaging: oakangbe269445@direct-lghealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1891146452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 WILLOW STREET PIKE N",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849510",
            "telephone_number": "717-464-2838",
            "fax_number": "717-464-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 WILLOW STREET PIKE N",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849510",
            "telephone_number": "717-464-2838",
            "fax_number": "717-723-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKANGBE",
        "first_name": "OLUWASEUN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD488136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Street, PA

Sources for this page

Verify at the official NPI Registry.