Active NPI
Olajide John Amosun, RN
- Registered Nurse
- Staten Island, NY
National Provider Identifier
1205188422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 22 458274-1
- Practice address
- 144 Skyline Dr
Staten Island, NY 10304-4767 - Phone
- (347) 466-4563
- Fax
- (347) 466-4563
- NPI assigned
- Oct 11, 2012
- Last updated
- Sep 8, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 22 458274-1 | NY | Primary |
Addresses
Primary practice location
144 Skyline Dr
Staten Island, NY 10304-4767
Mailing address
144 Skyline Drive
Staten Island, NY 10304-4767
Phone (347) 466-4563
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22 458274-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1205188422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 SKYLINE DRIVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044767",
"telephone_number": "347-466-4563",
"fax_number": "347-466-4563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 SKYLINE DR",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044767",
"telephone_number": "347-466-4563",
"fax_number": "347-466-4563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOSUN",
"first_name": "OLAJIDE",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-11",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "22 458274-1",
"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 Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.