Active NPI
Omowumi M Fashola
- Student in an Organized Health Care Education/Training Program
- Parsippany, NJ
National Provider Identifier
1801586649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 874979
- Practice address
- 1480 US Highway 46 Apt 216B
Parsippany, NJ 07054-1923 - Phone
- (862) 588-9121
- NPI assigned
- May 12, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 874979 | NY | Primary |
Addresses
Primary practice location
1480 US Highway 46 Apt 216B
Parsippany, NJ 07054-1923
Mailing address
1480 US Highway 46 Apt 216B
Parsippany, NJ 07054-1923
Phone (862) 588-9121
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 |
|---|---|---|---|
| 874979 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1801586649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 US HIGHWAY 46 APT 216B",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070541923",
"telephone_number": "862-588-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 US HIGHWAY 46 APT 216B",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070541923",
"telephone_number": "862-588-9121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASHOLA",
"first_name": "OMOWUMI",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-12",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "874979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parsippany, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.