Olumide Isaac Famojuro, RN

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

133988 Issued in NY

Practice address

83 Van Buren St
Freeport, NY 11520-6226

Phone

(347) 837-9177

NPI assigned

Feb 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Icahn School of Medicine at Mount SinaiGroup PAC ID 4385924091, 169 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198
• Kaleida Health Hospital, Buffalo, NY, CCN 330005

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Registered Nurse

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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.

• Icahn School of Medicine at Mount Sinai

  • Anesthesiology Physician
  • New York, NY
  • NPI 1447008446

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Centurion Midtown Anesthesia PLLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1750087854
  Medicare reassignment NPD
• Long Island Anesthesia Physicians LLP

  • Anesthesiology Physician
  • Rocky Point, NY
  • NPI 1952387276
  Medicare reassignment NPD
• New York University

  • Otolaryngology Physician
  • New York, NY
  • NPI 1851456701
  Medicare reassignment NPD
• Sedation Vacation Perioperative Medicine PLLC

  • Specialist
  • Valley Stream, NY
  • NPI 1891235404
  Medicare reassignment NPD
• Upstate Anesthesia Services, P.C.

  • Anesthesiology Physician
  • East Meadow, NY
  • NPI 1629272141
  Medicare reassignment NPD
• Maple Gate Anesthesiologists, P.C.

  • Anesthesiology Physician
  • Cheektowaga, NY
  • NPI 1528072709
  NPD
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD
• New York University

  • Anesthesiology Physician
  • Boynton Beach, FL
  • NPI 1952392946
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kaleida Health

  • General Acute Care Hospital
  • Williamsville, NY
  • NPI 1053441907
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • North Tonawanda, NY
  • NPI 1104956358
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1245365196
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1366473183
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1831229780
  Care Compare affiliation
• South Nassau Communities Hospital

  • General Acute Care Hospital
  • Oceanside, NY
  • NPI 1922079094
  Care Compare affiliation

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1972060283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 VAN BUREN ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115206226",
            "telephone_number": "347-837-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 VAN BUREN ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115206226",
            "telephone_number": "347-837-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMOJURO",
        "first_name": "OLUMIDE",
        "middle_name": "ISAAC",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-22",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "661135",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "133988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "132400594",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roselaure Eugene, PTA
• Ruth Exhume-Mervil
• Elisabeth Exhume
• Eyeworld LTD
• Daniel Facey
• Dina Fara
• Valerie A Farrell, LCSW
• Jasmin Felder, NP
• Tania Fenelus
• Jovani Ferere

• Certified Registered Nurse Anesthetist in Freeport, NY
• Providers in Freeport, NY by specialty
• Certified Registered Nurse Anesthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.