Ademola Olorunnisola

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

30 Moore Dr
Bethpage, NY 11714-5510

Phone

(516) 708-6707

NPI assigned

Feb 21, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ademola Olorunnisola Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1043759236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MOORE DR",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145510",
            "telephone_number": "516-708-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MOORE DR",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145510",
            "telephone_number": "516-708-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLORUNNISOLA",
        "first_name": "ADEMOLA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADEMOLA",
            "last_name": "OLORUNNISOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eoin O'Neill, NP
• Lewis Benjamin O'Shea, D.M.D.
• Kristen T Ocuto, REGISTERED NURSE
• Esther Sooyoung Oh, RN
• Carley Ann Okula
• Ophthalmic Consultants of Long Island
• Ophthalmic Consultants of Long Island
• Optum Medical Care, P.C.
• Orbuch, Brand Dermatology Associates LLP
• Pedro Orellana, RN

• Behavior Analyst in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.