Individual provider Active NPI

Felix Olurotimi Olorife, LPN

  • Licensed Practical Nurse
  • White Plains, NY
National Provider Identifier
1386046803
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
318010-1 Issued in NY
Practice address
777 Westchester Ave
Suit 110
White Plains, NY 10604-3520
Phone
(914) 997-0420
Fax
(877) 306-1432
NPI assigned
Sep 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 318010-1 NY Primary

Addresses

Primary practice location

777 Westchester Ave
Suit 110
White Plains, NY 10604-3520

Mailing address

777 Westchester Ave
Suit 110
White Plains, NY 10604-3520
Phone (914) 997-0420

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

State licenses

LicenseStateTypeSpecialty
318010-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maxim of New York, LLC Past Accepting new patients

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": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1386046803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 WESTCHESTER AVE",
            "address_2": "SUIT 110",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043520",
            "telephone_number": "914-997-0420",
            "fax_number": "877-306-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 WESTCHESTER AVE",
            "address_2": "SUIT 110",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043520",
            "telephone_number": "914-997-0420",
            "fax_number": "877-306-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLORIFE",
        "first_name": "FELIX",
        "middle_name": "OLUROTIMI",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "318010-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.