Individual provider Active NPI

Victoria Idowu Odusanya, RN

  • Licensed Practical Nurse
  • Staten Island, NY
National Provider Identifier
1346562576
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
298102 Issued in NY
Practice address
194 Park Ave
Staten Island, NY 10302-1443
Phone
(347) 968-9634
Fax
(347) 968-9634
NPI assigned
Feb 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 673460 NY
Licensed Practical Nurse 164W00000X 298102 NY Primary
Nursing Facility Supplies (DME) 332BN1400X

Addresses

Primary practice location

194 Park Ave
Staten Island, NY 10302-1443

Mailing address

194 Park Ave
Staten Island, NY 10302-1443
Phone (347) 968-9634

Other identifiers 1

IdentifierTypeStateIssuer
000000000MedicaidNY

Other names 1

  • Rising Starglobal Home Care LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CONNECT

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
673460NYMDRegistered Nurse
298102NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1346562576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 PARK AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021443",
            "telephone_number": "347-968-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 PARK AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021443",
            "telephone_number": "347-968-9634",
            "fax_number": "347-968-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUSANYA",
        "first_name": "VICTORIA",
        "middle_name": "IDOWU",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "673460",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "298102",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CONNECT",
            "affiliation": "N",
            "address_1": "194 Park Ave",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103021443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RISING",
            "last_name": "HOME CARE LLC",
            "middle_name": "STARGLOBAL",
            "credential": "BUSINESS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 23, 2026; 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.