Individual provider Active NPI

Oluwayinka Mercy Ademola, RN

  • Registered Nurse
  • Thiells, NY
National Provider Identifier
1518103282
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
529949 Issued in NY
Practice address
6 Riverglen Dr.
Thiells, NY 10984
Phone
(845) 270-7696
NPI assigned
Dec 30, 2008
Last updated
Dec 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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 529949 NY Primary

Addresses

Primary practice location

6 Riverglen Dr.
Thiells, NY 10984

Mailing address

6 Riverglen Dr.
Thiells, NY 10984
Phone (845) 270-7696

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
529949NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1518103282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RIVERGLEN DR.",
            "city": "THIELLS",
            "state": "NY",
            "postal_code": "10984",
            "telephone_number": "845-270-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 RIVERGLEN DR.",
            "city": "THIELLS",
            "state": "NY",
            "postal_code": "10984",
            "telephone_number": "845-270-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEMOLA",
        "first_name": "OLUWAYINKA",
        "middle_name": "MERCY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "529949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thiells, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.