Janet Omodewu

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

309197 Issued in NY

Practice address

15705 109TH Ave
Jamaica, NY 11433-2754

Phone

(718) 657-4149

NPI assigned

Mar 22, 2013

Sex

Female

Sole proprietor

No

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": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1598007015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15705 109TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332754",
            "telephone_number": "718-657-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15705 109TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332754",
            "telephone_number": "718-657-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMODEWU",
        "first_name": "JANET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "309197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olusegun Olowolabi
• Oleg Olshanetskiy, DO
• Funmilayo Olabimpe Olufunmilayo, MD
• Ejike Malachy Oluka, M.D
• Olympus Healthcare Center
• Omolara Senior Care
• Aderonke Ashabi Omolola, LPN
• Morenike Christianah Omotosho, DOULA
• Omolara Omotunde-Oniwe, M.S, M.ED, CDN, LPN
• Mojisola Ganiat Omotunde

• Licensed Practical Nurse in Jamaica, NY
• Providers in Jamaica, 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 Mar 22, 2013; 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.