Individual provider Active NPI

Olutoyin Comfort Akinwekomi, RN

  • Registered Nurse
  • Jamaica, NY
National Provider Identifier
1396018347
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
636558-1 Issued in NY
Practice address
14539 Arlington Ter
PH
Jamaica, NY 11435-5417
Phone
(347) 233-9189
NPI assigned
Feb 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 636558-1 NY Primary

Addresses

Primary practice location

14539 Arlington Ter
PH
Jamaica, NY 11435-5417

Mailing address

14539 Arlington Ter
PH
Jamaica, NY 11435-5417
Phone (347) 233-9189

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

LicenseStateTypeSpecialty
636558-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1396018347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14539 ARLINGTON TER",
            "address_2": "PH",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114355417",
            "telephone_number": "347-233-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14539 ARLINGTON TER",
            "address_2": "PH",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114355417",
            "telephone_number": "347-233-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINWEKOMI",
        "first_name": "OLUTOYIN",
        "middle_name": "COMFORT",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "636558-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.