Active NPI
Modupe Iroko, SPECIAL EDUCATION MS
- Specialist
- Brooklyn, NY
National Provider Identifier
1245508746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 529681111
- Practice address
- 205 Franklin Ave
Apt. 3 a
Brooklyn, NY 11205-4445 - Phone
- (347) 789-9139
- NPI assigned
- Dec 12, 2011
- Last updated
- Dec 12, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 529681111 | NY | Primary |
Addresses
Primary practice location
205 Franklin Ave
Apt. 3 a
Brooklyn, NY 11205-4445
Mailing address
205 Franklin Ave
Apt. 3 a
Brooklyn, NY 11205
Phone (347) 789-9139
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 529681111 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1245508746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 FRANKLIN AVE",
"address_2": "APT. 3 A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11205",
"telephone_number": "347-789-9139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 FRANKLIN AVE",
"address_2": "APT. 3 A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112054445",
"telephone_number": "347-789-9139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IROKO",
"first_name": "MODUPE",
"credential": "SPECIAL EDUCATION MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "529681111",
"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 Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.