Individual provider Active NPI

Olufunmilayo Oluremi Ogunnaiya, R.N

  • Registered Nurse
  • Middle Island, NY
National Provider Identifier
1073775664
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
550343-1 Issued in NY
Practice address
14 Adams LN
Middle Island, NY 11953-1803
Phone
(631) 698-0989
Fax
(631) 698-0989
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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 550343-1 NY Primary

Addresses

Primary practice location

14 Adams LN
Middle Island, NY 11953-1803

Mailing address

14 Adams LN
Middle Island, NY 11953-1803
Phone (631) 698-0989

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
550343-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1073775664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ADAMS LN",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531803",
            "telephone_number": "631-698-0989",
            "fax_number": "631-698-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ADAMS LN",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531803",
            "telephone_number": "631-698-0989",
            "fax_number": "631-698-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNNAIYA",
        "first_name": "OLUFUNMILAYO",
        "middle_name": "OLUREMI",
        "name_prefix": "Mrs.",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "550343-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.