Olusola Esther Sowemimo, MBA

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

590Q679 Issued in NY

Practice address

208 Beach 3Rd St Apt 1
Far Rockaway, NY 11691-5610

Phone

(718) 759-7079

NPI assigned

Aug 25, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1255248241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BEACH 3RD ST APT 1",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915610",
            "telephone_number": "718-759-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BEACH 3RD ST APT 1",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915610",
            "telephone_number": "718-759-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWEMIMO",
        "first_name": "OLUSOLA",
        "middle_name": "ESTHER",
        "name_prefix": "Ms.",
        "credential": "MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "590Q679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilda Souffrant, RDN
• South Beach Medical PC
• South Beach OB GYN
• South Island Medical Associates PC
• South Shore Thoracic & Cardiovascular Surgical Group PC
• Lissett Spence
• Joan Marcy Spencer
• Leah Spiegel, DDS
• Yehudis Leah Spiegel
• David Alexander Spinka

• Adult Care Home Facility in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.