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

Oluwafemi A Omosebi

Individual provider Physician Assistant · NPI 1245612373

Oluwafemi A Omosebi is a Physician Assistant in Middletown, New York. Qualified in 2014, 12 years ago. Practices with Garnet Health Doctors PC, a 166-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

707 E Main St
Middletown, NY 10940-2650
Phone: (845) 333-3370
Fax: (845) 333-3372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 68 Harris Bushville Rd, Harris, NY 12742 — (845) 333-8484

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 018668 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 018668 (NY)

Record details

NPI number1245612373
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 25, 2015
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 4, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Garnet Health Doctors Pc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Middletown