Adeniyi Sunday Okomoda

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

181780 Issued in CT

Practice address

668 Still Hill Rd
Hamden, CT 06518-1120

Phone

(860) 518-1659

NPI assigned

Oct 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1750006417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 STILL HILL RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181120",
            "telephone_number": "860-518-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 STILL HILL RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181120",
            "telephone_number": "860-518-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOMODA",
        "first_name": "ADENIYI",
        "middle_name": "SUNDAY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "181780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.dominionhealthcarellc.com",
            "affiliation": "N",
            "endpointDescription": "same",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "668 Still Hill Rd",
            "city": "Hamden",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065181120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda Oechsle, CN
• Daniel Oglesby, BCBA
• Sargis Ohanyan, MD
• Jenete N Okeke, OTR/L
• Sara Okereke
• Prince Okyere
• Adrienne Oliveira, PT
• Melina Marie Oliver, CNM
• Kali Olsen, ND, LAC
• Olsl Larson Place, LLC

• Registered Nurse in Hamden, CT
• Providers in Hamden, CT by specialty
• Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.