Imani Okelarin

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

332591 Issued in NY

Practice address

1077 Brookdale Ave
Bay Shore, NY 11706-1813

Phone

(631) 741-2435

NPI assigned

Aug 26, 2018

Last updated

Aug 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535241600000",
    "number": "1437630688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 BROOKDALE AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117061813",
            "telephone_number": "631-741-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 BROOKDALE AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117061813",
            "telephone_number": "631-741-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKELARIN",
        "first_name": "IMANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-26",
        "last_updated": "2018-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "332591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "914716278",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Folasade Obasa
• Curtis Ober, MD
• Meaghan Obergh
• Heidi Marie Obrien
• Ocean Family Medicine LLC
• Mitchell Oldshein, M.D.
• Marilyn Kristine Olita, NP
• Nicole Anne Oliva, AGACNP-C
• Myrta Isabel Olivera Dubon, MD
• Ryan Olivieri, PT, DPT

• Licensed Practical Nurse in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2018; 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.