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

Mr. Toba Olushola Omidiji, NP

Individual provider Adult Health Nurse Practitioner · NPI 1225552292

Mr. Toba Olushola Omidiji, NP is a Nurse Practitioner in Brooklyn, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2016, 10 years ago. Practices with Westchester Jewish Community Services Inc, a 42-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
10
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

528 Rockaway Ave
Brooklyn, NY 11212-5625
Phone: (408) 762-1980
Fax: (408) 762-1980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F403703-01 (NY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence F307838 (NY)

Record details

NPI number1225552292
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 1, 2017
Last updated in NPPESApril 4, 2022
Certification dateApril 4, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Westchester Jewish Community Services Inc. — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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