Mr Toba Olushola Omidiji, NP - Medicare Nurse Practitioner in Brooklyn, NY

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Mr Toba Olushola Omidiji, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brooklyn, New York. His current practice location is 528 Rockaway Ave, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (408) 762-1980.

Mr Toba Olushola Omidiji is licensed to practice in New York (license number F403703-01) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225552292.

Contact Information

Mr Toba Olushola Omidiji, NP
528 Rockaway Ave,
Brooklyn, NY 11212-5625
(408) 762-1980
(408) 762-1980

Map and Direction




Provider's Profile

Full NameMr Toba Olushola Omidiji
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location528 Rockaway Ave, Brooklyn, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225552292
  • Provider Enumeration Date: 08/01/2017
  • Last Update Date: 04/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9234551664
  • Enrollment ID: I20200612000325

Medical Identifiers

Medical identifiers for Mr Toba Olushola Omidiji such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225552292NPI-NPPES
06073409MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F307838 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health F403703-01 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Toba Olushola Omidiji allows following entities to bill medicare on his behalf.
Entity NameUnited Cerebral Palsy Of New York City, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730302019
PECOS PAC ID: 4688748320
Enrollment ID: O20110414000251
Entity NameHousing Works Services Ii Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083647101
PECOS PAC ID: 7911179627
Enrollment ID: O20110930000154
Entity NameHousing Works Health Services Iii Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114950151
PECOS PAC ID: 7113199852
Enrollment ID: O20110930000487
Entity NameBrookview Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871965855
PECOS PAC ID: 9537420450
Enrollment ID: O20180309000532

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Toba Olushola Omidiji is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Toba Olushola Omidiji, NP
528 Rockaway Ave,
Brooklyn, NY 11212-5625

Ph: () -		Mr Toba Olushola Omidiji, NP
528 Rockaway Ave,
Brooklyn, NY 11212-5625

Ph: (408) 762-1980

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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