MUYIWA AKIN OKURIBIDO DPM NPI 1215927603

NPI Information

NPI: 1215927603
Provider Name: MUYIWA AKIN OKURIBIDO, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
705 RENAISSANCE DR
WILLIAMSTOWN, NJ
ZIP 08094
Phone: (732) 241-8295
Get Directions

Muyiwa Akin Okuribido, DPM is a foot and ankle surgery podiatrist in Williamstown, NJ with 27 years of experience. Muyiwa Akin Okuribido, DPM NPI is 1215927603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1997

The provider's business location address is:

705 RENAISSANCE DR
WILLIAMSTOWN, NJ
ZIP 08094-331
Phone: (732) 241-8295
Fax: (856) 504-0200

The NPI 1215927603 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/26/2005 and was last updated on 3/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	MD002566	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	222747589	OTHER	NEW JERSEY	EIN
2	1194996645	OTHER	NEW JERSEY	444 WILLIAMS ST
3	1619148160	OTHER	NEW JERSEY	516 BERGEN ST
4	U77847	MEDICARE UPIN	NEW JERSEY
5	1063683258	OTHER	NEW JERSEY	751 BROADWAY
6	1548431091	OTHER	NEW JERSEY	982 BROAD ST
7	1932370483	OTHER	NEW JERSEY	101 LUDLOW ST
8	1972778413	OTHER	NEW JERSEY	1150 SPRINGFIELD AVE
9	1235300799	OTHER	NEW JERSEY	37 N DAY ST
10	1740345693	OTHER	NEW JERSEY	741 BROADWAY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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