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

Ivie Omoruyi, MD

Individual provider Emergency Medicine Physician · NPI 1790275915

Ivie Omoruyi, MD is an Emergency Medicine in Brooklyn, New York. Qualified in 2017, 9 years ago. Practices with Rochester General Hospital, a 1,197-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

210 Wyckoff Ave Apt 3R
Brooklyn, NY 11237-5310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1425 Portland Ave, Rochester, NY 14621-3011 — (585) 922-5067

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 311622 (NY)

Record details

NPI number1790275915
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2018
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Rochester General Hospital — 1197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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