Active NPI
Olusegun Afolabi
- Non-emergency Medical Transport (VAN)
- Washington, DC
National Provider Identifier
1770633901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 9552576
- Practice address
- 4825 N Capitol St NE
Appt.204
Washington, DC 20011-6747 - Phone
- (202) 345-3594
- Fax
- (202) 529-7340
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 9552576 | DC | Primary |
Addresses
Primary practice location
4825 N Capitol St NE
Appt.204
Washington, DC 20011-6747
Mailing address
4825 N Capitol St NE
Appt.204
Washington, DC 20011-6747
Phone (202) 345-3594
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9552576 | DC | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770633901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 N CAPITOL ST NE",
"address_2": "APPT.204",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200116747",
"telephone_number": "202-345-3594",
"fax_number": "202-529-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4825 N CAPITOL ST NE",
"address_2": "APPT.204",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200116747",
"telephone_number": "202-345-3594",
"fax_number": "202-529-7340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFOLABI",
"first_name": "OLUSEGUN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "DC",
"license": "9552576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
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.