Samuel Oladele Somefun, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

619569 Issued in NY

Practice address

3041 Avenue U, 1St Floor
Broooklyn, NY 11229

Phone

(718) 615-0049

Fax

(718) 646-5315

NPI assigned

Jul 20, 2010

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Nurseworks

  • Nursing Care Agency
  • Brooklyn, NY
  • NPI 1457668634
  NPD (past)

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1346553252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 DE REIMER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662320",
            "telephone_number": "718-496-2363",
            "fax_number": "347-843-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 AVENUE U, 1ST FLOOR",
            "city": "BROOOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-615-0049",
            "fax_number": "718-646-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMEFUN",
        "first_name": "SAMUEL",
        "middle_name": "OLADELE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "619569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.