Sodiq O. Anifowoshe

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

809788 Issued in NY

Practice address

100 College Dr
Allentown, PA 18104-6132

Phone

(800) 360-1222

NPI assigned

Dec 5, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1083420871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SUNSET DR APT 2",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138204691",
            "telephone_number": "510-333-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLLEGE DR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046132",
            "telephone_number": "800-360-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIFOWOSHE",
        "first_name": "SODIQ",
        "middle_name": "O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "809788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Andujar
• Swetha Anepu, D.O.
• Sydney Angelella, BCBA, LBS
• Christine Marie Manalang Angeles, DO
• Cristina Grace Angelo, MD
• Anita'S Hearts That Care, LLC
• Brianna Annunziata, PA-C
• Anthony Palmisano
• Julie N. Antidormi, CRNA
• Manassi Timothy Antonis, DDS

• Registered Nurse in Allentown, PA
• Providers in Allentown, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.