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MR. OLUSEGUN OLATUNBOSUN PHYSICIAN ASSISTANT
NPI 1942478995
Physician Assistant in Jamaica, NY

Active since February 12, 2008PECOS Enrolled
15601 N CONDUIT AVE, APT. #C33, JAMAICA, NY 11434(718) 755-1034 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Olusegun Olatunbosun Physician Assistant NPPES

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

MR. OLUSEGUN OLATUNBOSUN PHYSICIAN ASSISTANT (NPI 1942478995) is an individual physician assistant in Jamaica, New York, licensed in New York (012406) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942478995
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. OLUSEGUN OLATUNBOSUNCredential: PHYSICIAN ASSISTANT
Location Address15601 N CONDUIT AVE, APT. #C33Jamaica, NY 11434-4300
Mailing Address15601 N Conduit Ave, Apt. #c33Jamaica, NY 11434-4300 · (718) 755-1034
Phone(718) 755-1034
Sole ProprietorNo
Enumeration DateFebruary 12, 2008
✔ NPI 1942478995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 012406
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
15601 N CONDUIT AVE, Jamaica, NY 11434
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Olusegun Olatunbosun Physician Assistant 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 11434 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
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

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

SHANNON BUTLER-STEWART
Licensed Practical Nurse
15601 N CONDUIT AVE, APT B23
JAMAICA, NY 11434
Queens County (516) 288-6099

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 Olusegun Olatunbosun's NPI number?

The NPI number for Olusegun Olatunbosun is 1942478995. It was assigned to this individual provider in the NPPES registry on February 12, 2008.

Where is Olusegun Olatunbosun located?

Olusegun Olatunbosun practices at 15601 N Conduit Ave Apt. #c33, Jamaica, NY 11434. The listed phone number is (718) 755-1034.

What is Olusegun Olatunbosun's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Olusegun Olatunbosun enrolled in Medicare?

Yes. Olusegun Olatunbosun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olusegun Olatunbosun was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.