Active NPI
Folarin O Egunjobi
- Occupational Therapist
- East Elmhurst, NY
National Provider Identifier
1093378853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 023534
- Practice address
- 10030 Ditmars Blvd
East Elmhurst, NY 11369-1333 - Phone
- (646) 294-8324
- NPI assigned
- Apr 17, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 023534 | NY | Primary |
Addresses
Primary practice location
10030 Ditmars Blvd
East Elmhurst, NY 11369-1333
Mailing address
24 Weir St
Hempstead, NY 11550-7608
Phone (916) 761-5549
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1093378853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 WEIR ST",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115507608",
"telephone_number": "916-761-5549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10030 DITMARS BLVD",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113691333",
"telephone_number": "646-294-8324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGUNJOBI",
"first_name": "FOLARIN",
"middle_name": "O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-17",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "023534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.