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MR. TOBA OLUSHOLA OMIDIJI NP
NPI 1225552292
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Active since August 01, 2017PECOS EnrolledAccepts Medicare Assignment
528 ROCKAWAY AVE, BROOKLYN, NY 11212(408) 762-1980(408) 762-1980 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2022, Oct 9, 2021, Apr 24, 2020 and 1 more (4 updates tracked since 2017).

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

NPI1225552292
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. TOBA OLUSHOLA OMIDIJICredential: NP
Location Address528 ROCKAWAY AVEBrooklyn, NY 11212-5625
Mailing Address528 Rockaway AveBrooklyn, NY 11212-5625
Phone(408) 762-1980
Fax(408) 762-1980
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2016
Enumeration DateAugust 1, 2017
Last NPPES UpdateApril 4, 20224 updates tracked since enumeration
NPPES CertifiedApril 4, 2022
✔ NPI 1225552292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F403703-01
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License F307838 (NY)
528 ROCKAWAY AVE, Brooklyn, NY 11212
Open in Google Maps ↗

Other Identifiers 1

Medicaid06073409NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9234551664
PECOS Enrollment IDI20200612000325
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services28 patients

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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

What insurance does Toba Omidiji accept?

Health plans from Providence Health Plan 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.