Individual provider Active NPI

Ufuoma Ogadie Odjodu

  • Licensed Practical Nurse
  • Jamaica, NY
National Provider Identifier
1699664383
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
348897 Issued in NY
Practice address
13328 142ND St
Jamaica, NY 11436-2121
Phone
(347) 319-7111
NPI assigned
Jun 30, 2025
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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 348897 NY Primary

Addresses

Primary practice location

13328 142ND St
Jamaica, NY 11436-2121

Mailing address

13328 142ND St
Jamaica, NY 11436-2121
Phone (347) 319-7111

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
348897NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1699664383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13328 142ND ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114362121",
            "telephone_number": "347-319-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13328 142ND ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114362121",
            "telephone_number": "347-319-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODJODU",
        "first_name": "UFUOMA",
        "middle_name": "OGADIE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "348897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.