Aderonke Stella Agbelemoge, L.P. N

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

333894 Issued in NY

Practice address

515 E Fordham Rd
Bronx, NY 10458-5029

Phone

(718) 430-4900

NPI assigned

Oct 29, 2019

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

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": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1467096800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354521",
            "telephone_number": "646-289-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585029",
            "telephone_number": "718-430-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBELEMOGE",
        "first_name": "ADERONKE",
        "middle_name": "STELLA",
        "credential": "L.P. N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "333894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seema Agarwal, M.D.
• Victoria Agayeva
• Kalu Agbaeze
• Patricia Agbanyo
• Nestor A Agbayani Jr., M
• Victoria Agbelese
• Ambroisine Agbelor, LMSW
• Olufunmilayo Agbelusi
• Rosemary Agbematu, LPN
• Mmoa Tchoni Agbere, PHARMD

• Licensed Practical Nurse in Bronx, NY
• Providers in Bronx, 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 Oct 29, 2019; 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.