Charles Osakiduwa Omozuwa Sr.

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

337790 Issued in NY

Practice address

436 Beach 36TH St Apt 3
Far Rockaway, NY 11691-1507

Phone

(347) 972-1288

NPI assigned

Dec 15, 2025

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": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1467316208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 BEACH 36TH ST APT 3",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911507",
            "telephone_number": "347-972-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 BEACH 36TH ST APT 3",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911507",
            "telephone_number": "347-972-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOZUWA",
        "first_name": "CHARLES",
        "middle_name": "OSAKIDUWA",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NY",
            "license": "337790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ifedola Olowe, HS-BCP 2303
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• Omni Choice Inc.
• Feyisayo Omotoso
• On Our Way Learning Center
• Zachary Onkeo
• Elizabeth Ontiveros, PA-C
• Ifeoma Onyeike
• Henya Oppen, LMSW

• Licensed Vocational Nurse in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Licensed Vocational Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.