Active NPI
Morire Omolara Akindutire
- Licensed Practical Nurse
- Staten Island, NY
National Provider Identifier
1396031357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 304588-1
- Practice address
- 91 Tompkins Avenue
St. Elizabeth Ann's Health Care
Staten Island, NY 10304 - Phone
- (718) 876-1200
- NPI assigned
- Jun 28, 2011
- Last updated
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 304588-1 | NY | Primary |
Addresses
Primary practice location
91 Tompkins Avenue
St. Elizabeth Ann's Health Care
Staten Island, NY 10304
Mailing address
34 Beach Street
Margaret Ultra Home Care ,Inc.
Staten Island, NY 10304
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
| License | State | Type | Specialty |
|---|---|---|---|
| 304588-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1396031357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 BEACH STREET",
"address_2": "MARGARET ULTRA HOME CARE ,INC.",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 TOMPKINS AVENUE",
"address_2": "ST. ELIZABETH ANN'S HEALTH CARE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10304",
"telephone_number": "718-876-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINDUTIRE",
"first_name": "MORIRE",
"middle_name": "OMOLARA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-28",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "304588-1",
"primary": true
}
],
"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 Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.