Individual provider Active NPI

Oladapo Otesile, RRT

  • Registered Respiratory Therapist
  • Queens Village, NY
National Provider Identifier
1689157265
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
008709 Issued in NY
Practice address
22524 111TH Ave
Queens Village, NY 11429-2803
Phone
(718) 506-4345
NPI assigned
Sep 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 008709 NY Primary

Addresses

Primary practice location

22524 111TH Ave
Queens Village, NY 11429-2803

Mailing address

22524 111TH Ave
Queens Village, NY 11429-2803
Phone (718) 506-4345

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
008709NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1689157265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22524 111TH AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292803",
            "telephone_number": "718-506-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22524 111TH AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292803",
            "telephone_number": "718-506-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTESILE",
        "first_name": "OLADAPO",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NY",
            "license": "008709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.