Individual provider Active NPI

Adelaju Ruth Adegunle, REGISTERED NURSE

  • Community Health Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1659647261
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
554529 Issued in NY
Practice address
272 Macdonough St
Brooklyn, NY 11233-1007
Phone
(718) 573-5959
Fax
(718) 573-5966
NPI assigned
Mar 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 554529 NY Primary

Addresses

Primary practice location

272 Macdonough St
Brooklyn, NY 11233-1007

Mailing address

625 Matteline St
Uniondale, NY 11553-2618
Phone (646) 236-3178

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
554529NYMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1659647261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 MATTELINE ST",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115532618",
            "telephone_number": "646-236-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 MACDONOUGH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112331007",
            "telephone_number": "718-573-5959",
            "fax_number": "718-573-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEGUNLE",
        "first_name": "ADELAJU",
        "middle_name": "RUTH",
        "name_prefix": "Miss",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "554529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.