Roseline Agboola

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

533472 Issued in NY

Practice address

933 E 103Rd St
Brooklyn, NY 11236-2800

Phone

(678) 462-7715

NPI assigned

Jun 25, 2010

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)

Enrolled

State licenses

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1376854232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 E 103RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362800",
            "telephone_number": "678-462-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 E 103RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362800",
            "telephone_number": "678-462-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBOOLA",
        "first_name": "ROSELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "533472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Agbi, R.N
• Gabriel E. Agbim, M.D.
• Esohe Agbonkpolor
• Xiaonian Jane Agbontaen, PA
• John Owoade Agboola, MBBS
• Levon Agdere, M.D.
• Noly G. Agdinaoay, CPNP
• Earlisa Ageda
• Ageless Home Health Care, LLC.
• Ageless Men'S Health

• School Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.