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Olusegun I Feyijinmi

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

PECOS Enrollment

This provider is enrolled in PECOS as OLUSEGUN FEYIJINMI.

Based on the most recent information from CMS, provider Olusegun I Feyijinmi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1316526098
Provider Type
Individual
Full Name
Feyijinmi, Olusegun I
Credential
PA

Gender
Male
Sole Proprietor
No
Enumeration Date
4/7/2021
Last Updated
3/21/2024

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Mailing Location

29 York Ave, Staten Island, NY 10301-1326

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 026547 New York

Olusegun I Feyijinmi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Rasile, Jacqueline Marie

Tantawi, Nada Sherif

Cepeda, Roger Alejandro

Boss, Evelyn

Tecza, Dominica

Lipnitskiy, Mona Trinette

Scribani, Stephanie Nicole

Tomasini, Gabriella

Dweck, Virginia Sophia

Melnyk, Iryna