OLUMIDE DAMILOLA AKINMOJU M.D
NPI 1104679331
Student in an Organized Health Care Education/Training Program in Newburgh, NY

Active since April 08, 2024PECOS Enrolled
70 DUBOIS STREET, MONTEFIORE ST. LUKE'S CORNWALL, NEWBURGH, NY 12550(845) 561-4400(845) 568-2614 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2024, Apr 8, 2024 (2 updates tracked since 2024).

About Olumide Damilola Akinmoju M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLUMIDE DAMILOLA AKINMOJU M.D (NPI 1104679331) is an individual student in an organized health care education/training program in Newburgh, New York and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104679331
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOLUMIDE DAMILOLA AKINMOJUCredential: M.D
Location Address70 DUBOIS STREET, MONTEFIORE ST. LUKE'S CORNWALLNewburgh, NY 12550
Mailing Address70 Dubois Street, Montefiore St. Luke's CornwallNewburgh, NY 12550 · (845) 561-4400 · Fax (845) 568-2614
Fax(845) 568-2614
Sole ProprietorNo
Enumeration DateApril 8, 2024
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPI 1104679331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
70 DUBOIS STREET, Newburgh, NY 12550

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Olumide Damilola Akinmoju M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET
NEWBURGH, NY 12550
Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET
NEWBURGH, NY 12550
Nurse Anesthetist, Certified Registered
70 DUBOIS STREET, ST. LUKES HOSPITAL
NEWBURGH, NY 12550
Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET
NEWBURGH, NY 12550
Internal Medicine
70 DUBOIS STREET
NEWBURG, NY 12550
Nurse Anesthetist, Certified Registered
70 DUBOIS STREET, ST LUKES HOSPITAL
NEWBURGH, NY 12550
Nurse Anesthetist, Certified Registered
70 DUBOIS STREET, ST. LUKES HOSPITAL
NEWBURGH, NY 12550
Nurse Anesthetist, Certified Registered
70 DUBOIS STREET, MID-HUDSON ANESTHESIOLOGISTS, PC
NEWBURGH, NY 12550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olumide Akinmoju's NPI number?

The NPI number for Olumide Akinmoju is 1104679331. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Olumide Akinmoju located?

Olumide Akinmoju practices at 70 Dubois Street Montefiore St. Luke's Cornwall, Newburgh, NY 12550. The listed phone number is (845) 561-4400.

What is Olumide Akinmoju's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Olumide Akinmoju enrolled in Medicare?

Yes. Olumide Akinmoju is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olumide Akinmoju was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.