Individual provider Active NPI

Wumi Akintide, LMSW

  • Social Worker
  • Far Rockaway, NY
National Provider Identifier
1043765571
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
056063-1 Issued in NY
Practice address
1040 Neilson St
Apt 6P
Far Rockaway, NY 11691-5047
Phone
(347) 453-0990
NPI assigned
Aug 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 056063-1 NY Primary

Addresses

Primary practice location

1040 Neilson St
Apt 6P
Far Rockaway, NY 11691-5047

Mailing address

1040 Neilson St
Apt 6P
Far Rockaway, NY 11691-5047
Phone (347) 453-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
056063-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1043765571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NEILSON ST",
            "address_2": "APT 6P",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915047",
            "telephone_number": "347-453-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 NEILSON ST",
            "address_2": "APT 6P",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915047",
            "telephone_number": "347-453-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINTIDE",
        "first_name": "WUMI",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "056063-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.