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

Olusegun Ogunfowora, MD

Individual provider Internal Medicine Physician · NPI 1275602963

Olusegun Ogunfowora, MD is an Internal Medicine in Far Rockaway, New York. Qualified in 1987, 39 years ago. Practices with Multiviz Medical Services PC, a 27-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
39
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

529 Beach 20th St
Far Rockaway, NY 11691-3645
Phone: (718) 327-7307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 206115-1 (NY)

Record details

NPI number1275602963
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 7, 2006
Last updated in NPPESAugust 12, 2016

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Multiviz Medical Services Pc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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