Individual provider Active NPI

Christina Oluwakemi Obadina, RN

  • Registered Nurse
  • Ozone Park, NY
National Provider Identifier
1790335529
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
749613 Issued in NY
Practice address
8808 Liberty Ave
Ozone Park, NY 11417-1329
Phone
(929) 499-3419
Fax
(929) 499-3419
NPI assigned
Sep 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 749613 NY Primary

Addresses

Primary practice location

8808 Liberty Ave
Ozone Park, NY 11417-1329

Mailing address

8808 Liberty Ave
Ozone Park, NY 11417-1329
Phone (929) 499-3419

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
749613NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
South Richmond Hill Recovery LLC CurrentSince Sep 15, 2019 Accepting new patients
Resolutions Counseling and Family Services LCSW PLLC PastSince Sep 15, 2019 Accepting new patients

Locations

8808 Liberty Ave
Ozone Park, NY 11417
Phone (718) 785-3380

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1790335529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 LIBERTY AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171329",
            "telephone_number": "929-499-3419",
            "fax_number": "929-499-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 LIBERTY AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171329",
            "telephone_number": "929-499-3419",
            "fax_number": "929-499-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBADINA",
        "first_name": "CHRISTINA",
        "middle_name": "OLUWAKEMI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "749613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.