Individual provider Active NPI

Ojelede Ehikhamenor

  • Durable Medical Equipment & Medical Supplies
  • East Elmhurst, NY
National Provider Identifier
1902227432
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
2361 92ND St
East Elmhurst, NY 11369-1118
Phone
(917) 858-2256
Fax
(516) 415-7857
NPI assigned
Dec 31, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NY Primary

Addresses

Primary practice location

2361 92ND St
East Elmhurst, NY 11369-1118

Mailing address

2361 92ND St
East Elmhurst, NY 11369-1118
Phone (917) 858-2256

Other names 1

  • Nationalwide Medical Supply Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nationalwide Medical Supply Durable Medical Equipment & Medical Supplies Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1902227432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 92ND ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691118",
            "telephone_number": "917-858-2256",
            "fax_number": "516-415-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 92ND ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691118",
            "telephone_number": "917-858-2256",
            "fax_number": "516-415-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHIKHAMENOR",
        "first_name": "OJELEDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-31",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATIONALWIDE MEDICAL",
            "last_name": "SUPPLY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in East Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.