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

Mr. Martin Osemwengie Oviasogie

Individual provider Registered Nurse · NPI 1639695091

Mr. Martin Osemwengie Oviasogie is a Nurse Practitioner in Syracuse, New York. Qualified in 2023, 3 years ago. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2017
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1045 James St
Syracuse, NY 13203-2730
Phone: (315) 472-4471
Fax: (315) 999-1377
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 402562 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 699520 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence F402562 (NY)

Record details

NPI number1639695091
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 17, 2017
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Syracuse