Individual provider Active NPI

Olukemi Florence Okunlola, DNP, MHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1346643657
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401794 Issued in NY
Practice address
1040 Winthrop St
Brooklyn, NY 11212-1483
Phone
(718) 363-3040
Fax
(718) 363-3040
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401794 NY Primary

Addresses

Primary practice location

1040 Winthrop St
Brooklyn, NY 11212-1483

Mailing address

1040 Winthrop St
Brooklyn, NY 11212-1483
Phone (718) 363-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190409000291 NY Practitioner - Nurse Practitioner 6406197086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Babok Medical Health Services PCGroup PAC ID 6800898933, 2 clinicians

Practice addresses (Care Compare)

1040 Winthrop St
Brooklyn, NY 11212-1483
Phone (718) 363-3040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F401794NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Babok Medical Health Services, PC CurrentSince Feb 19, 2019 Accepting new patients

Locations

1040 Winthrop St
Brooklyn, NY 11212
Phone (718) 363-3040

1545 Atlantic Ave
Ste 108
Brooklyn, NY 11213
Phone (718) 301-5894

14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663

875 Jerusalem Ave
#A
Uniondale, NY 11553
Phone (516) 572-6711

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICCFBA/Endpoint/ICCFBA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1346643657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 WINTHROP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112121483",
            "telephone_number": "718-363-3040",
            "fax_number": "718-363-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WINTHROP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112121483",
            "telephone_number": "718-363-3040",
            "fax_number": "718-363-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNLOLA",
        "first_name": "OLUKEMI",
        "middle_name": "FLORENCE",
        "name_prefix": "Dr.",
        "credential": "DNP, MHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.