Individual provider Active NPI

Elaine Faith Asemota

  • Registered Nurse
  • Dix Hills, NY
National Provider Identifier
1710182860
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
545664 Issued in NY
Practice address
32 Ormond St
Dix Hills, NY 11746-6333
Phone
(631) 940-0604
Fax
(631) 940-0604
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 545664 NY Primary

Addresses

Primary practice location

32 Ormond St
Dix Hills, NY 11746-6333

Mailing address

32 Ormond St
Dix Hills, NY 11746-6333
Phone (631) 940-0604

Other names 1

  • Elaine Faith Alaketu Nee Asemota Professional name

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
545664NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710182860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 ORMOND ST",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466333",
            "telephone_number": "631-940-0604",
            "fax_number": "631-940-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 ORMOND ST",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466333",
            "telephone_number": "631-940-0604",
            "fax_number": "631-940-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASEMOTA",
        "first_name": "ELAINE",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "545664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "ALAKETU NEE ASEMOTA",
            "middle_name": "FAITH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.