Individual provider Active NPI

Rashidat Jolaoluwa, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1689006983
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349302 Issued in NY
Practice address
455 Sutter Ave
Brooklyn, NY 11212-8111
Phone
(718) 765-6550
Fax
(347) 620-9739
NPI assigned
Aug 8, 2013
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 349302 NY Primary
Registered Nurse 163W00000X 669982 NY

Addresses

Primary practice location

455 Sutter Ave
Brooklyn, NY 11212-8111

Mailing address

PO Box 746087
Atlanta, GA 30374-6087
Phone (312) 733-9730

Other practice location 1

156 Henry St
Brooklyn, NY 11201-2504
Phone (718) 237-5001

Other identifiers 1

IdentifierTypeStateIssuer
F349302-01OtherNYTHE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230419001259 NY Practitioner - Nurse Practitioner 0648645911 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Group of New York PCGroup PAC ID 2567642044, 61 clinicians

Practice addresses (Care Compare)

156 Henry St
Brooklyn, NY 11201-2504
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
669982NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Sep 4, 2025 Accepting new patients
United Cerebral Palsy Associations of New York State, Inc. Current Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Mar 23, 2023 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Sep 4, 2025 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Metro Community Health Centers, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Medical Care at Home PC CurrentSince May 23, 2025 Accepting new patients
Metro Community Health Centers, Inc. Current Accepting new patients
Metro Community Health Centers, Inc. CurrentSince Jan 8, 2024 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009

156 Henry St
Brooklyn, NY 11201
Phone (718) 237-5001

2094 Pitkin Ave
Brooklyn, NY 11207
Phone (718) 240-0400

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

220 E 42nd St
Fl 6
New York, NY 10017
Phone (212) 609-9640

227 Madison St
New York, NY 10002
Phone (212) 238-7000

50 Water St
Fl 3
New York, NY 10004

2324 Forest Ave
Staten Island, NY 10303
Phone (718) 447-0200

5065 Wooster Rd
Cincinnati, OH 45226

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: rashidat.jolaoluwa.1@30409.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1689006983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746087",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112128111",
            "telephone_number": "718-765-6550",
            "fax_number": "347-620-9739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 Henry St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112012504",
            "country_code": "US",
            "telephone_number": "718-237-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOLAOLUWA",
        "first_name": "RASHIDAT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349302",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "669982",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT",
            "identifier": "F349302-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.