Latifat Olabisi Bamgbose, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NP07135300 Issued in NJ

Practice address

233 Lehigh Avenue
#3
Newark, NJ 07112

Phone

(862) 264-3950

NPI assigned

Jan 8, 2020

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1346880325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 LEHIGH AVENUE",
            "address_2": "#3",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07112",
            "telephone_number": "862-264-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 LEHIGH AVENUE",
            "address_2": "#3",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07112",
            "telephone_number": "862-264-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMGBOSE",
        "first_name": "LATIFAT",
        "middle_name": "OLABISI",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP07135300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balm in Gilead Community Services, Inc
• Miroslawa Balowska, MD
• Anil Balraj, PHARM D., RPH.
• Genie Ann Francisco Baluyut, MD
• Bambini Hospital Physicians, P.a.
• Oluwatosin Bamgboshe
• Christina Banat
• Jacqueline Bancroft, PA-C
• Shanice Alicia Bancroft, PTA
• Jaspreet Banga

• Licensed Practical Nurse in Newark, NJ
• Providers in Newark, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.