Individual provider Active NPI

Olanike Olaniyi

  • Registered Nurse
  • Staten Island, NY
National Provider Identifier
1154940492
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
005731 Issued in NJ
Practice address
191 Bradley Ave
Staten Island, NY 10314-5166
Phone
(718) 698-8800
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 005731 NJ Primary

Addresses

Primary practice location

191 Bradley Ave
Staten Island, NY 10314-5166

Mailing address

PO Box 323
Malverne, NY 11565-0323

Other practice location 1

301 Spring Garden Rd
Hammonton, NJ 08037-9699
Phone (609) 561-1709

Other practice location 2

23 Schoolhouse Rd
Whiting, NJ 08759-3024
Phone (732) 849-4300

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

LicenseStateTypeSpecialty
005731NJMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1154940492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115650323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BRADLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145166",
            "telephone_number": "718-698-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Spring Garden Rd",
            "address_purpose": "LOCATION",
            "city": "Hammonton",
            "state": "NJ",
            "postal_code": "080379699",
            "country_code": "US",
            "telephone_number": "609-561-1709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Schoolhouse Rd",
            "address_purpose": "LOCATION",
            "city": "Whiting",
            "state": "NJ",
            "postal_code": "087593024",
            "country_code": "US",
            "telephone_number": "732-849-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLANIYI",
        "first_name": "OLANIKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "005731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.