Oluwagbemiga Lawal, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

687667 Issued in NY

Practice address

1022 Rev James a Polite Ave Apt 4a
Bronx, NY 10459-2781

Phone

(917) 635-8536

NPI assigned

Nov 17, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gbenga Lawa Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1366045031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 REV JAMES A POLITE AVE APT 4A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592781",
            "telephone_number": "917-635-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 REV JAMES A POLITE AVE APT 4A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592781",
            "telephone_number": "917-635-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWAL",
        "first_name": "OLUWAGBEMIGA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "687667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GBENGA",
            "last_name": "LAWA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nevsha Lavinier
• Tamar Debora Lavy, M.D.
• Georgette Claudia Law, MSW, LCSW
• Simon Law, PHARM. D
• Suiheung Law, ED.D
• Tosin Lawal, LPN
• Keith Anthony Lawes, DO
• Camille Lawhead
• Angela Lawrence, PSYD
• Anna Lawrence

• Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.