Active NPI
Olajumoke O Ogunfiditimi, CRNP
- Gerontology Nurse Practitioner
- Olney, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R226377
- Practice address
- 3413 Olandwood CT
Olney, MD 20832-1489 - Phone
- (240) 786-1001
- NPI assigned
- Mar 11, 2024
- Last updated
- Oct 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R226377 | MD | Primary |
Addresses
Primary practice location
3413 Olandwood CT
Olney, MD 20832-1489
Mailing address
3413 Olandwood CT
Olney, MD 20832-1489
Phone (240) 786-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Frederick Health Hospital Inc
Practice addresses (Care Compare)
1194 Dutchmans Creek Dr
Brunswick, MD 21716-9786
Phone (240) 215-6310
18540 Office Park Dr
Montgomery Village, MD 20886-0586
Phone (240) 786-1001
3413 Olandwood CT
Suite 103
Olney, MD 20832-1489
Phone (240) 786-1001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Pain & Rehabilitation Center | Current | Accepting new patients | |
| Choice Pain & Rehabilitation Center, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
8843 Greenbelt Rd
Greenbelt, MD 20770
Phone (240) 297-9857
7404 Executive Pl
Lanham, MD 20706
Phone (202) 390-1115
7404 Executive Pl
Ste 510
Lanham, MD 20706
14205 Park Center Dr
Ste 204
Laurel, MD 20707
Phone (301) 853-0093
18540 Office Park Dr
Montgomry Vlg, MD 20886
Phone (301) 330-3900
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Lanham, MD
- NPI 1568809598
DC
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Newark, DE
- NPI 1053007898
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1932967254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3413 OLANDWOOD CT",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321489",
"telephone_number": "240-786-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3413 OLANDWOOD CT",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321489",
"telephone_number": "240-786-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNFIDITIMI",
"first_name": "OLAJUMOKE",
"middle_name": "O",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-11",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MD",
"license": "R226377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.