Individual provider Active NPI

Roseline Abosede Aderibigbe, RN

  • Registered Nurse
  • Staten Island, NY
National Provider Identifier
1437531233
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
411739-1 Issued in NY
Practice address
269 Glen Ave
Staten Island, NY 10301-2821
Phone
(718) 420-9440
NPI assigned
Jun 29, 2015
Last updated
Jun 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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 411739-1 NY Primary

Addresses

Primary practice location

269 Glen Ave
Staten Island, NY 10301-2821

Mailing address

269 Glen Ave
Staten Island, NY 10301-2821
Phone (718) 420-9440

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
411739-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1437531233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 GLEN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012821",
            "telephone_number": "718-420-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 GLEN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012821",
            "telephone_number": "718-420-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADERIBIGBE",
        "first_name": "ROSELINE",
        "middle_name": "ABOSEDE",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "411739-1",
            "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 29, 2015; 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.