Olutayo Olaide Olasupo, MD
Internal Medicine Physician · Far Rockaway, NY
Olutayo Olaide Olasupo, MD is an internal medicine physician with a practice address in Far Rockaway, New York, and NPI 1114713054, issued on Apr 17, 2025. Check the license (New York P128167, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Olutayo Olaide Olasupo
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- P128167 NY
Self-reported in NPPES; status is on the state search - Practice location
- 529 Beach 20TH St, Far Rockaway, NY 11691
- Phone
- (718) 327-7307
- Enumerated
- Apr 17, 2025
- Record last updated
- Apr 17, 2025
- Fax
- (718) 327-3294
- Medicare enrollment
- Enrolled (PECOS I20250423000931); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 12,067 in New York → Look up another NPI →
Also registered at 529 Beach 20TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Yolande Bernard, M.D.Internal Medicine Physician1104878461
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- Achyut Khanal, MDInternal Medicine Physician1750185948
Verify Olutayo Olaide Olasupo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license P128167Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Multiviz Medical Services PCFar Rockaway, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Olutayo Olaide Olasupo among 12,067 internal medicine physician records in New York
Olutayo Olaide Olasupo, MD is one of 12,067 internal medicine physician records with a practice address in New York. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 99% of them.
- NPI issued2025 · 99% of these records are older, under 1% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated2006 · median 2002 among the 7,221 with a school on file
- Record last updated2025 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
50 internal medicine physician records list a practice address in Far Rockaway
They are 50 of the 1,696 NPPES records with a practice address in Far Rockaway, and 12,067 internal medicine physician records in New York.
All 12,067 in New York → Every provider in Far Rockaway → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Jean Antoine, MDFar Rockaway, NY 116911386727279
- Obiora Anyoku, MDFar Rockaway, NY 116911225093180
- Yolande Bernard, M.D.Far Rockaway, NY 116911104878461
- Israel Brafman, MDFar Rockaway, NY 116911124111638
- Daniel Buff, MDFar Rockaway, NY 116911033202544
- Richard Delnunzio, M.D.Edgemere, NY 116911487697108
- Dmitriy Elkin, M.D.Far Rockaway, NY 116911760431761
- Polina Khanina, MDFar Rockaway, NY 116911285679498
Common questions
What is Olutayo Olaide Olasupo, MD's NPI number?
Olutayo Olaide Olasupo, MD's National Provider Identifier (NPI) is 1114713054, issued on Apr 17, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Olutayo Olaide Olasupo, MD located?
The NPPES record lists a practice address at 529 Beach 20TH St, Far Rockaway, NY, 11691. Phone: (718) 327-7307. Providers update this record themselves, so call before visiting.
How can I verify Olutayo Olaide Olasupo, MD's license?
NPPES lists New York license number P128167, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.