Active NPI
Adebimpe Lucy Ogundare, LPN
- Licensed Practical Nurse
- Nanuet, NY
National Provider Identifier
1073044152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 327452
- Practice address
- 508 Airport Executive Park
Nanuet, NY 10954-5238 - Phone
- (845) 425-2655
- NPI assigned
- Mar 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 327452 | NY | Primary |
Addresses
Primary practice location
508 Airport Executive Park
Nanuet, NY 10954-5238
Mailing address
44 Route 25a
Apt 505
Smithtown, NY 11787-1400
Phone (631) 949-3560
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
| License | State | Type | Specialty |
|---|---|---|---|
| 327452 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1073044152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 ROUTE 25A",
"address_2": "APT 505",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117871400",
"telephone_number": "631-949-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 AIRPORT EXECUTIVE PARK",
"city": "NANUET",
"state": "NY",
"postal_code": "109545238",
"telephone_number": "845-425-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNDARE",
"first_name": "ADEBIMPE",
"middle_name": "LUCY",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-21",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "327452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.