Oluwamutiwa Akinade David

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

337679 Issued in NY

Practice address

21 Northfield Ave
Staten Island, NY 10303-1624

Phone

(718) 316-1736

Fax

(718) 978-0032

NPI assigned

Nov 20, 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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1467227405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NORTHFIELD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031624",
            "telephone_number": "718-316-1736",
            "fax_number": "718-978-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NORTHFIELD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031624",
            "telephone_number": "718-316-1736",
            "fax_number": "718-978-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "OLUWAMUTIWA",
        "middle_name": "AKINADE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "337679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Datta, PA-C
• Joanna Quinn Dattilo, LCSW
• David Joseph Romano DPM PC
• David M Herzog MD PC
• David Pierre, Inc
• Victoria Davide
• Adi Davidov, MD
• Ronnie Davidson, M.S. ED.
• Brigid Gallagher Davies, R.N.
• Lindsey Davies, D.D.S.

• Licensed Practical Nurse in Staten Island, NY
• Providers in Staten Island, 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 Nov 20, 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.