Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ayo Oguntoye

Individual provider Acute Care Nurse Practitioner · NPI 1922530880

Ayo Oguntoye is a Nurse Practitioner in Staten Island, New York. Qualified in 2021, 5 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

375 Seguine Ave
Staten Island, NY 10309-3932
Phone: (718) 226-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence F432151-01 (NY)

Record details

NPI number1922530880
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 30, 2017
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021
Mailing addressPo Box 612, New York, NY 10027-0612

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Staten Island