MR. TOBA OLUSHOLA OMIDIJI NP
NPI 1225552292
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY
About Mr. Toba Olushola Omidiji Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TOBA OLUSHOLA OMIDIJI NP (NPI 1225552292) is an individual psychiatric/mental health provider in Brooklyn, New York, licensed in New York (F403703-01) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Toba Olushola Omidiji Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Toba Omidiji reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bohemia, NY 11716
- Reassigned Medicare billing, New York enrollment
- 754 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Toba Omidiji's NPI number?
The NPI number for Toba Omidiji is 1225552292. It was assigned to this individual provider in the NPPES registry on August 1, 2017.
Where is Toba Omidiji located?
Toba Omidiji practices at 528 Rockaway Ave, Brooklyn, NY 11212. The listed phone number is (408) 762-1980.
What is Toba Omidiji's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Toba Omidiji enrolled in Medicare?
Yes. Toba Omidiji is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Toba Omidiji's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Toba Omidiji reassigns Medicare benefits to Brookview Medical Associates, PLLC (Bohemia, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Toba Omidiji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Toba Omidiji accept?
Health plans from Oscar Health list Toba Omidiji as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Toba Omidiji was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Toba Olushola Omidiji, NP · NPI 1225552292
Psychiatric/Mental Health physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since August 1, 2017.
## Identity
- **NPI:** 1225552292 (Entity type: Individual)
- **Enumerated:** August 1, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** F403703-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 528 ROCKAWAY AVE, Brooklyn, NY 11212-5625
- **Phone:** (408) 762-1980 · **Fax:** (408) 762-1980
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Brookview Medical Associates, PLLC (NPI 1871965855, Bohemia, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** April 4, 2022
- **Other identifiers:** Medicaid 06073409 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1225552292) · Data from the CMS NPPES public registry.