Individual provider Active NPI

Oluwaseun O Sode, LPN

  • Licensed Practical Nurse
  • Staten Island, NY
National Provider Identifier
1689971319
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
301805 Issued in NY
Practice address
498 Bay St
Staten Island, NY 10304-3834
Phone
(718) 273-0097
NPI assigned
Feb 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 301805 NY Primary

Addresses

Primary practice location

498 Bay St
Staten Island, NY 10304-3834

Mailing address

59 Daniel Low Ter
Staten Island, NY 10301-1758
Phone (718) 954-4417

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
301805NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solarant Consulting Firm Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1689971319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 DANIEL LOW TER",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011758",
            "telephone_number": "718-954-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 BAY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043834",
            "telephone_number": "718-273-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODE",
        "first_name": "OLUWASEUN",
        "middle_name": "O",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "301805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.