Individual provider Active NPI

Selina Adaboo

  • Registered Nurse
  • Far Rockaway, NY
National Provider Identifier
1295377844
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
780152 Issued in NY
Practice address
2523 Oceancrest Blvd
Far Rockaway, NY 11691-1913
Phone
(347) 972-1163
NPI assigned
Oct 15, 2019
Last updated
Oct 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 780152 NY Primary

Addresses

Primary practice location

2523 Oceancrest Blvd
Far Rockaway, NY 11691-1913

Mailing address

2523 Oceancrest Blvd
Far Rockaway, NY 11691-1913
Phone (347) 972-1163

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
780152NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1295377844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 OCEANCREST BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911913",
            "telephone_number": "347-972-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 OCEANCREST BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911913",
            "telephone_number": "347-972-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADABOO",
        "first_name": "SELINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "780152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.