Individual provider Active NPI

Mosunmola Oyeyiga

  • Licensed Practical Nurse
  • Staten Island, NY
National Provider Identifier
1295190916
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
319559 Issued in NY
Practice address
97 Confederation PL
Staten Island, NY 10303-2228
Phone
(718) 926-8335
NPI assigned
Dec 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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 319559 NY Primary

Addresses

Primary practice location

97 Confederation PL
Staten Island, NY 10303-2228

Mailing address

97 Confederation PL
Staten Island, NY 10303-2228
Phone (718) 926-8335

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

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1295190916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 CONFEDERATION PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032228",
            "telephone_number": "718-926-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 CONFEDERATION PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032228",
            "telephone_number": "718-926-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEYIGA",
        "first_name": "MOSUNMOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "319559",
            "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 Dec 22, 2015; 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.