Active NPI
Adenike Okeowo
- Nurse Practitioner
- Freeport, NY
National Provider Identifier
1205193273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 320096
- Practice address
- 160 E Sunrise Hwy # 1104
Freeport, NY 11520-3945 - Phone
- (631) 517-3293
- Fax
- (631) 203-0778
- NPI assigned
- Apr 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 320096 | NY | Primary |
| Licensed Practical Nurse | 164W00000X | 299946 | NY |
Addresses
Primary practice location
160 E Sunrise Hwy # 1104
Freeport, NY 11520-3945
Mailing address
160 E Sunrise Hwy # 1104
Freeport, NY 11520-3945
Phone (631) 517-3293
Other practice location 1
169 Riverside Dr
Binghamton, NY 13905-4246
Phone (607) 798-5111
Other practice location 2
347 Union Ave
Staten Island, NY 10303-2470
Phone (917) 459-2388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299946 | NY | MD | Emergency Medicine Physician |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- hyl9025@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1205193273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E SUNRISE HWY # 1104",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203945",
"telephone_number": "631-517-3293",
"fax_number": "631-203-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E SUNRISE HWY # 1104",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203945",
"telephone_number": "631-517-3293",
"fax_number": "631-203-0778"
}
],
"practiceLocations": [
{
"address_1": "169 Riverside Dr",
"address_purpose": "LOCATION",
"city": "Binghamton",
"state": "NY",
"postal_code": "139054246",
"country_code": "US",
"telephone_number": "607-798-5111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "347 Union Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103032470",
"country_code": "US",
"telephone_number": "917-459-2388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKEOWO",
"first_name": "ADENIKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-16",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "320096",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "299946",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.