Individual provider Active NPI

Eunice Julianah Oluwaseyi

  • Licensed Practical Nurse
  • Staten Island, NY
National Provider Identifier
1265738850
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
302706 Issued in NY
Practice address
200 Trantor PL
Apt 2a
Staten Island, NY 10302-1963
Phone
(718) 727-3192
NPI assigned
Jan 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 302706 NY Primary

Addresses

Primary practice location

200 Trantor PL
Apt 2a
Staten Island, NY 10302-1963

Mailing address

200 Trantor PL
Apt 2a
Staten Island, NY 10302-1963
Phone (718) 727-3192

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
302706NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1265738850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TRANTOR PL",
            "address_2": "APT 2A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021963",
            "telephone_number": "718-727-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRANTOR PL",
            "address_2": "APT 2A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021963",
            "telephone_number": "718-727-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUWASEYI",
        "first_name": "EUNICE",
        "middle_name": "JULIANAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "302706",
            "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 Apr 20, 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.

Verify at the official NPI Registry.