Individual provider Active NPI

Lovelyn Babatunde

  • Licensed Practical Nurse
  • New York, NY
National Provider Identifier
1720310360
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
298625-1 Issued in NY
Practice address
505 E 120TH St
Apt # 6C
New York, NY 10035-3723
Phone
(212) 410-7042
NPI assigned
Feb 8, 2010
Last updated
Feb 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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 298625-1 NY Primary

Addresses

Primary practice location

505 E 120TH St
Apt # 6C
New York, NY 10035-3723

Mailing address

11050 207TH St
Queens Village, NY 11429-1706
Phone (718) 464-5139

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
298625-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1720310360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 207TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291706",
            "telephone_number": "718-464-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E 120TH ST",
            "address_2": "APT # 6C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100353723",
            "telephone_number": "212-410-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABATUNDE",
        "first_name": "LOVELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "298625-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.