Ademuyiwa Onitiri

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

859145 Issued in NY

Practice address

11050 207TH St
Queens Village, NY 11429-1706

Phone

(646) 705-6960

NPI assigned

Jan 30, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1447966718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 207TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291706",
            "telephone_number": "646-705-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 207TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291706",
            "telephone_number": "646-705-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONITIRI",
        "first_name": "ADEMUYIWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "859145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Folashade O Ologundudu
• Bamikole Olojuomo
• Ibrahim Femi Oloyede
• Om Physical Therapy PLLC
• Ansari N Omar, RN
• Mariamma C Oommen
• Organization for Development and Health
• Joseph Vidal Ortiz
• Natalie Ortiz
• Terri-Ann Georgiann Osullivan, LCSW

• Registered Nurse in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.