Active NPI
Muibi Adeoye Akadri
- Registered Nurse
- Jamaica, NY
National Provider Identifier
1578197372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 640361
- Practice address
- 15564 115TH Ave
Jamaica, NY 11434-1008 - Phone
- (347) 579-9209
- NPI assigned
- Mar 2, 2020
- Last updated
- Mar 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 640361 | NY | Primary |
Addresses
Primary practice location
15564 115TH Ave
Jamaica, NY 11434-1008
Mailing address
15564 115TH Ave
Jamaica, NY 11434-1008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640361 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 640361 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1578197372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15564 115TH AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114341008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15564 115TH AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114341008",
"telephone_number": "347-579-9209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKADRI",
"first_name": "MUIBI",
"middle_name": "ADEOYE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-02",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "640361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "640361",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.