Active NPI
Tunde Osofisan, DPM P.C.
- Podiatric Clinic/Center
- Brooklyn, NY
National Provider Identifier
1962826768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- N006467
- Legal business name
- TUNDE OSOFISAN, DPM P.C.
- Practice address
- 295 Throop Ave
1B
Brooklyn, NY 11206-7121 - Phone
- (917) 826-7794
- Fax
- (718) 613-4898
- NPI assigned
- Feb 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tunde Osofisan, DPM
- Title
- Owner
- Phone
- (917) 826-7794
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | N006467 | NY | Primary |
Addresses
Primary practice location
295 Throop Ave
1B
Brooklyn, NY 11206-7121
Mailing address
295 Throop Ave
1B
Brooklyn, NY 11206-7121
Phone (917) 826-7794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03618760 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
- NPI 1306129341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392249600000",
"number": "1962826768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 THROOP AVE",
"address_2": "1B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112067121",
"telephone_number": "917-826-7794",
"fax_number": "718-613-4898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 THROOP AVE",
"address_2": "1B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112067121",
"telephone_number": "917-826-7794",
"fax_number": "718-613-4898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUNDE OSOFISAN, DPM P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-13",
"last_updated": "2014-02-13",
"status": "A",
"authorized_official_last_name": "OSOFISAN",
"authorized_official_first_name": "TUNDE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-826-7794",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": "NY",
"license": "N006467",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03618760",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.