Active NPI
Victoria Idowu Odusanya, RN
- Licensed Practical Nurse
- Staten Island, NY
National Provider Identifier
1346562576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 298102
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Medicaid | NY |
Other names 1
- Rising Starglobal Home Care LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 673460 | NY | MD | Registered Nurse |
| 298102 | NY | MD | Licensed 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.