{"npi":"1629068903","type":"NPI-1","status":"active","name":{"display":"Dr. Ifeoluwa Omitowoju MD","other":[{"code":"1","type":"Formerly known as","value":"FADEYI, IFEOLUWA Y"}],"first":"IFEOLUWA","last":"OMITOWOJU","middle":"Y","credential":"MD"},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":true,"state":"MD","license":"D0059049"}]},"addresses":[{"purpose":"LOCATION","street_1":"1701 TWIN SPRINGS RD","city":"HALETHORPE","state":"MD","postal_code":"212273553","country_code":"US","street_2":"KAISER PERMANENTE SOUTH BALTIMORE COUNTY HUB","phone":"4107375000"},{"purpose":"MAILING","street_1":"2101 E JEFFERSON ST","city":"ROCKVILLE","state":"MD","postal_code":"208524908","country_code":"US","street_2":"KAISER PERMANENTE MEDICARE ENROLLMENT","phone":"3018162424"}],"license":{"state":"MD","number":"D0059049"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20060227000676","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"DC","pac_id":"0840206942"},{"enrlmt_id":"I20120709000091","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"MD","pac_id":"0840206942"}]},"enumeration_date":"2005-10-26","last_updated":"2021-06-25","_meta":{"source":"NPPES","snapshot_date":"2021-06-25","doc_url":"https://findmynpi.com/api"}}