Active NPI
Bassey Kubiangha Oluyemi, R. N
- Registered Nurse
- Staten Island, NY
National Provider Identifier
1376880625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 656031
- Practice address
- 35 Holland Ave
Apt. 11D
Staten Island, NY 10303-1219 - Phone
- (347) 857-5698
- NPI assigned
- Jan 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 656031 | NY | Primary |
| Contractor | 171W00000X | 656031 | NY | |
| Home Health Agency | 251E00000X | 656031 | NY | |
| Adult Companion | 372600000X | 656031 | NY |
Addresses
Primary practice location
35 Holland Ave
Apt. 11D
Staten Island, NY 10303-1219
Mailing address
35 Holland Ave
Apt. 11D
Staten Island, NY 10303-1219
Phone (347) 857-5698
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 |
|---|---|---|---|
| 656031 | NY | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1376880625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 HOLLAND AVE",
"address_2": "APT. 11D",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103031219",
"telephone_number": "347-857-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 HOLLAND AVE",
"address_2": "APT. 11D",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103031219",
"telephone_number": "347-857-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLUYEMI",
"first_name": "BASSEY",
"middle_name": "KUBIANGHA",
"credential": "R. N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-07",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "656031",
"primary": true
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "656031",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "656031",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NY",
"license": "656031",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.