Modupe Bolanle Odugbemi, FNP

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

F341213-1 Issued in NY

Practice address

214 Stephens Ave
Bronx, NY 10473-2424

Phone

(917) 691-1219

NPI assigned

Dec 6, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New York City Health and Hospitals Corporation

  dba Jacobi Medical Center

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1679587679
  NPD (past)

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1265976559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 STEPHENS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732424",
            "telephone_number": "917-691-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 STEPHENS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732424",
            "telephone_number": "917-691-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUGBEMI",
        "first_name": "MODUPE",
        "middle_name": "BOLANLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "F341213-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuella Ewusiwaa Odoom
• Susana Odoom, CNM
• Steven A Odrich, M.D.
• Loretta Odro
• Roseline Odufu, LPN
• Olufemi Philip Odugbemi, MD
• Esther Odukoya
• Josephine N Odume, FNP-BC
• Olateju Odumosu, FNP-BC, NP-C
• Olufemi O Odumosu, NURSE ANESTHETIST

• Medical-Surgical Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Medical-Surgical Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.

Verify at the official NPI Registry.