ABIDEMI OMOYEFA
NPI 1497445068
Prosthetic/Orthotic Supplier in Staten Island, NY

Active since May 08, 2023
1324 FOREST AVE STE 104, STATEN ISLAND, NY 10302(347) 791-9818 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Abidemi Omoyefa NPPES

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

ABIDEMI OMOYEFA (NPI 1497445068) is an individual prosthetic/orthotic supplier provider in Staten Island, New York, licensed in New York (510765) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1497445068
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameABIDEMI OMOYEFA
Location Address1324 FOREST AVE STE 104Staten Island, NY 10302-2044
Mailing Address1324 Forest Ave Ste 104Staten Island, NY 10302-2044 · (347) 791-9818
Sole ProprietorYes
Enumeration DateMay 8, 2023
NPPES CertifiedMay 6, 2023
NPI 1497445068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in NY · 510765
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
1324 FOREST AVE STE 104, Staten Island, NY 10302

Other Providers at the Same Location NPPES

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

Prosthetic/Orthotic Supplier
1324 FOREST AVE STE 104
STATEN ISLAND, NY 10302

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 Abidemi Omoyefa's NPI number?

The NPI number for Abidemi Omoyefa is 1497445068. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Abidemi Omoyefa located?

Abidemi Omoyefa practices at 1324 Forest Ave Ste 104, Staten Island, NY 10302. The listed phone number is (347) 791-9818.

What is Abidemi Omoyefa's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Abidemi Omoyefa was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.