Christine Om

Primary specialty

DentistTaxonomy code 122300000X

License

22DI03123900 Issued in NJ

Practice address

200 Old Country Rd Ste 460
Mineola, NY 11501-4293

Phone

(917) 922-5701

NPI assigned

Mar 20, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1891596540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY RD STE 460",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY RD STE 460",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014293",
            "telephone_number": "917-922-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OM",
        "first_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI03123900",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adeola Tolulope Okediji, DPT
• Jared Michael Okun, MD
• Old Country Road Imaging and Diagnostics
• Monica Da Silva Oliveira, PA-C
• Elissa Julia Olivera, CCC-SLP
• Optimum Health and Wellness
• Alisha R Oropallo, M.D.
• Andrea Ortez Escobar
• Orthomedical Products, Inc.
• Orthopaedic Care & Surgery PC

• Dentist in Mineola, NY
• Providers in Mineola, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.