Individual provider Active NPI

Oluwadamilola Munirat Taiwo-Oniga, NP

  • Women's Health Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1760268064
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F421729-01 Issued in NY
Practice address
10816 63Rd Rd
Forest Hills, NY 11375-1352
Phone
(516) 709-4868
NPI assigned
Sep 4, 2023
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F421729-01 NY Primary
Inpatient Obstetric Registered Nurse 163WX0003X 765524 NY

Addresses

Primary practice location

10816 63Rd Rd
Forest Hills, NY 11375-1352

Mailing address

254 Meyer Ave
Valley Stream, NY 11580-3136
Phone (516) 709-4868

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
765524NYMDInpatient Obstetric Registered Nurse
F421729-01NYMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1760268064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 MEYER AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803136",
            "telephone_number": "516-709-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10816 63RD RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751352",
            "telephone_number": "516-709-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIWO-ONIGA",
        "first_name": "OLUWADAMILOLA",
        "middle_name": "MUNIRAT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421729-01",
            "primary": true
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "NY",
            "license": "765524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.