Active NPI
Babatunde Ogunjulugbe
- Registered Nurse
- Newport News, VA
National Provider Identifier
1336761469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001279013
- Practice address
- 115 Gawain Dr
Newport News, VA 23602-7108 - Phone
- (571) 234-2532
- NPI assigned
- May 12, 2020
- Last updated
- May 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001279013 | VA | Primary |
Addresses
Primary practice location
115 Gawain Dr
Newport News, VA 23602-7108
Mailing address
115 Gawain Dr
Newport News, VA 23602-7108
Phone (571) 234-2532
Other practice location 1
4438 Camley Way
Burtonsville, MD 20866-3123
Phone (571) 234-2532
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0001279013 | VA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1336761469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 GAWAIN DR",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236027108",
"telephone_number": "571-234-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 GAWAIN DR",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236027108",
"telephone_number": "571-234-2532"
}
],
"practiceLocations": [
{
"address_1": "4438 Camley Way",
"address_purpose": "LOCATION",
"city": "Burtonsville",
"state": "MD",
"postal_code": "208663123",
"country_code": "US",
"telephone_number": "571-234-2532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGUNJULUGBE",
"first_name": "BABATUNDE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-12",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001279013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.