Individual provider Active NPI

Fatimat Bintu Funke Adenlola

  • Student in an Organized Health Care Education/Training Program
  • Elmont, NY
National Provider Identifier
1477072148
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
40 Elmont Rd
Elmont, NY 11003-1603
Phone
(347) 542-5667
NPI assigned
Sep 14, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Welllife Network Inc Past Accepting new patients

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

40 Elmont Rd
Elmont, NY 11003-1603

Mailing address

244 S King St
Elmont, NY 11003-4233
Phone (516) 708-7748

Other names 1

  • Mrs. Fatimat Bintu F Adenlola II Other name

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1477072148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 S KING ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034233",
            "telephone_number": "516-708-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ELMONT RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031603",
            "telephone_number": "347-542-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENLOLA",
        "first_name": "FATIMAT BINTU",
        "middle_name": "FUNKE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATIMAT BINTU",
            "last_name": "ADENLOLA",
            "middle_name": "F",
            "prefix": "MRS.",
            "suffix": "II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.