Individual provider Active NPI

Matilda Olufunlayo Oyeyemi, RN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1457655821
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
460974 Issued in NY
Practice address
411 E 28TH St
Brooklyn, NY 11226-7807
Phone
(718) 284-1757
NPI assigned
Dec 29, 2010
Last updated
Dec 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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 460974 NY Primary

Addresses

Primary practice location

411 E 28TH St
Brooklyn, NY 11226-7807

Mailing address

411 E 28TH St
Brooklyn, NY 11226-7807
Phone (718) 284-1757

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
460974NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1457655821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E 28TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267807",
            "telephone_number": "718-284-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E 28TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267807",
            "telephone_number": "718-284-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEYEMI",
        "first_name": "MATILDA",
        "middle_name": "OLUFUNLAYO",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "460974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.