Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY ABIODUN OLADITAN LPP
NPI 1679126296
Nurse Practitioner - Family in Bronx, NY

Active since July 23, 2019PECOS Enrolled
1436 WILLIAMSBRIDGE RD, BRONX, NY 10461(646) 759-5453 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2026, Mar 2, 2026, Aug 28, 2019 and 1 more (4 updates tracked since 2019).

About Mary Abiodun Oladitan Lpp NPPES

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

MARY ABIODUN OLADITAN LPP (NPI 1679126296) is an individual family provider in Bronx, New York, licensed in New York (360459) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679126296
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY ABIODUN OLADITANCredential: LPP
Location Address1436 WILLIAMSBRIDGE RDBronx, NY 10461-2507
Mailing Address2015 Grand ConcourseBronx, NY 10453-4303 · (718) 618-0401 · Fax (347) 479-1303
Sole ProprietorNo
Enumeration DateJuly 23, 2019
Last NPPES UpdateJuly 17, 20264 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
NPI 1679126296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 360459
Also ListedRegistered NurseTaxonomy 163W00000X · License 946572 (NY)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 09669391 (NY)
1436 WILLIAMSBRIDGE RD, Bronx, NY 10461

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Abiodun Oladitan Lpp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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.

Other Providers at the Same Location NPPES 3

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

Family Medicine
1436 WILLIAMSBRIDGE RD
BRONX, NY 10461
Nurse Practitioner (Acute Care)
1436 WILLIAMSBRIDGE RD
BRONX, NY 10461
Nurse Practitioner (Family)
1436 WILLIAMSBRIDGE RD
BRONX, NY 10461

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 Mary Oladitan's NPI number?

The NPI number for Mary Oladitan is 1679126296. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is Mary Oladitan located?

Mary Oladitan practices at 1436 Williamsbridge Rd, Bronx, NY 10461. The listed phone number is (646) 759-5453.

What is Mary Oladitan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Oladitan enrolled in Medicare?

Yes. Mary Oladitan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Oladitan was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.