Folasade Obasa

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

790404 Issued in NY

Practice address

1063 Thompson Dr
Bay Shore, NY 11706-6209

Phone

(718) 759-8781

NPI assigned

Aug 22, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Folasade Gbadebo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700303641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 THOMPSON DR",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066209",
            "telephone_number": "718-759-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 THOMPSON DR",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066209",
            "telephone_number": "718-759-8781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1063 Tompson Drive",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "11706",
            "country_code": "US",
            "telephone_number": "718-759-8781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "998 Crooked Hill Rd",
            "address_purpose": "LOCATION",
            "city": "W Brentwood",
            "state": "NY",
            "postal_code": "117171019",
            "country_code": "US",
            "telephone_number": "631-761-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBASA",
        "first_name": "FOLASADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "329512-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "790404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FOLASADE",
            "last_name": "GBADEBO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monique Shakiyla O'Neil, PA
• Danielle Lauren O'Shaughnessy
• William Charles O'Shaughnessy, D.D.S.
• Megan O'Shea
• Kathleen O'Sullivan
• Curtis Ober, MD
• Meaghan Obergh
• Heidi Marie Obrien
• Ocean Family Medicine LLC
• Imani Okelarin

• Registered Nurse in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.