Individual provider Active NPI

Comfort Yemi Olasokan

  • Registered Nurse
  • Arverne, NY
National Provider Identifier
1598918625
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
624163 Issued in NY
Practice address
324 Beach 59TH St
Apt 4a
Arverne, NY 11692-1642
Phone
(718) 337-3512
NPI assigned
Nov 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 624163 NY Primary
Licensed Practical Nurse 164W00000X 275068 NY

Addresses

Primary practice location

324 Beach 59TH St
Apt 4a
Arverne, NY 11692-1642

Mailing address

324 Beach 59TH St
Apt 4a
Arverne, NY 11692-1642
Phone (718) 337-3512

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

LicenseStateTypeSpecialty
624163NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1598918625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 BEACH 59TH ST",
            "address_2": "APT 4A",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921642",
            "telephone_number": "718-337-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 BEACH 59TH ST",
            "address_2": "APT 4A",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921642",
            "telephone_number": "718-337-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLASOKAN",
        "first_name": "COMFORT",
        "middle_name": "YEMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "624163",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "275068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arverne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.