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

Mr. Olumide Isaac Famojuro, RN

Individual provider School Registered Nurse · NPI 1972060283

Mr. Olumide Isaac Famojuro, RN is a Certified Registered Nurse Anesthetist (CRNA) in Freeport, New York. Qualified in 2020, 6 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 171-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

83 Van Buren St
Freeport, NY 11520-6226
Phone: (347) 837-9177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 133988 (NY)
School Registered Nurse Taxonomy 163WS0200X · Licence 661135 (NY)

Record details

NPI number1972060283
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedFebruary 22, 2019
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 15, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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