Individual provider Active NPI

Rebecca Osaro Obaseki, RN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1124378302
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
581882-1 Issued in NY
Practice address
249 Thomas Boyland St.
Apt. 22D
Brooklyn, NY 11233
Phone
(718) 346-8412
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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 581882-1 NY Primary

Addresses

Primary practice location

249 Thomas Boyland St.
Apt. 22D
Brooklyn, NY 11233

Mailing address

249 Thomas Boyland St.
Apt. 22D
Brooklyn, NY 11233
Phone (718) 346-8412

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
581882-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1124378302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 THOMAS BOYLAND ST.",
            "address_2": "APT. 22D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11233",
            "telephone_number": "718-346-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 THOMAS BOYLAND ST.",
            "address_2": "APT. 22D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11233",
            "telephone_number": "718-346-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBASEKI",
        "first_name": "REBECCA",
        "middle_name": "OSARO",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "581882-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.