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

Omobola Debrah Osunleti

Individual provider Family Nurse Practitioner · NPI 1295504462

Omobola Debrah Osunleti is a Nurse Practitioner in Bayside, New York. Graduated from State University of New York Downstate Medical Center in 2023, 3 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

3629 Bell Blvd Ste 200
Bayside, NY 11361-2056
Phone: (718) 358-0554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 352879 (NY)

Record details

NPI number1295504462
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 28, 2023
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2023 (3 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bayside