OMODUNNI OSOFISAN NPI 1356781801

NPI Information

  • NPI: 1356781801
  • Provider Name: OMODUNNI OSOFISAN
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • Address: 4422 3RD AVE
    BRONX, NY
    ZIP 10457
  • Phone: (718) 960-9000

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NPI Details

Omodunni Osofisan is a podiatrist in Bronx, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Omodunni Osofisan NPI is 1356781801. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4422 3RD AVE
BRONX, NY
ZIP 10457-545
Phone: (718) 960-9000

The enumeration date for this NPI number is 6/28/2013 and was last updated on 6/28/2013.

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
1213E00000XPodiatristP75658NEW YORKYes

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: 11/21/2025

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