Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Omobolanle Morounkeji Alli-Balogun, MD, MPH

Individual provider Psychiatry Physician · NPI 1053900266

Dr. Omobolanle Morounkeji Alli-Balogun, MD, MPH is a Psychiatry in Bronx, New York. Qualified in 2005, 21 years ago. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

1276 Fulton Ave Fl 5
Bronx, NY 10456-3402
Phone: (718) 590-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 332012 (NY)

Record details

NPI number1053900266
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedJanuary 12, 2021
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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