| Ivie Omoruyi, MD | |
|
210 Wyckoff Ave Apt 3r, Brooklyn, NY 11237-5310 | |
| () - | |
| Not Available |
| Full Name | Ivie Omoruyi |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 210 Wyckoff Ave Apt 3r, Brooklyn, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790275915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 311622 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wyckoff Heights Medical Center | Brooklyn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rochester General Hospital | 0244149474 | 1063 |
| The Unity Hospital Of Rochester | 9436060969 | 637 |
| Entity Name | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
| Entity Name | Newark Wayne Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770671182 PECOS PAC ID: 0446154199 Enrollment ID: O20031212000722 |
| Entity Name | The Unity Hospital Of Rochester |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760421713 PECOS PAC ID: 9436060969 Enrollment ID: O20031230000038 |
| Entity Name | Wyckoff Emergency Medicine Services, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154369783 PECOS PAC ID: 9234024852 Enrollment ID: O20040220000796 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivie Omoruyi, MD 210 Wyckoff Ave Apt 3r, Brooklyn, NY 11237-5310 Ph: (925) 917-0964 | Ivie Omoruyi, MD 210 Wyckoff Ave Apt 3r, Brooklyn, NY 11237-5310 Ph: () - |
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