Individual provider Active NPI

Omolola Akinola

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1023334554
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
624249 Issued in NY
Practice address
735 Lincoln Ave
5S
Brooklyn, NY 11208-4172
Phone
(718) 348-1655
NPI assigned
Apr 8, 2010
Last updated
Apr 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 624249 NY Primary

Addresses

Primary practice location

735 Lincoln Ave
5S
Brooklyn, NY 11208-4172

Mailing address

735 Lincoln Ave
5S
Brooklyn, NY 11208-4172
Phone (718) 348-1655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416001326 NY Practitioner - Nurse Practitioner 1355817453 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2626 Halperin Ave
Bronx, NY 10461-2631

57 Willoughby St
Brooklyn, NY 11201-5255

735 Lincoln Ave
Brooklyn, NY 11208-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
624249NYMDRegistered Nurse

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1023334554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 LINCOLN AVE",
            "address_2": "5S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112084172",
            "telephone_number": "718-348-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 LINCOLN AVE",
            "address_2": "5S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112084172",
            "telephone_number": "718-348-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINOLA",
        "first_name": "OMOLOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "624249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.