Individual provider Active NPI

Adekunle Saka, LPN/RN

  • Registered Nurse
  • New York, NY
National Provider Identifier
1740585777
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
647316 Issued in NY
Practice address
111 Lenox Ave
5A
New York, NY 10026-2589
Phone
(718) 666-1754
NPI assigned
Jan 23, 2011
Last updated
Sep 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 290844 NY
Registered Nurse 163W00000X 647316 NY Primary

Addresses

Primary practice location

111 Lenox Ave
5A
New York, NY 10026-2589

Mailing address

111 Lenox Ave
5A
New York, NY 10026-2589
Phone (718) 666-1754

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
647316NYMDRegistered Nurse
290844NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1295740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1740585777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LENOX AVE",
            "address_2": "5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262589",
            "telephone_number": "718-666-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LENOX AVE",
            "address_2": "5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262589",
            "telephone_number": "718-666-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKA",
        "first_name": "ADEKUNLE",
        "credential": "LPN/RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-23",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "290844",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "647316",
            "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 Sep 21, 2012; 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.