Funmi Modupe Awelewa

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

3177-92 Issued in NY

Practice address

178 Thomas St
Brentwood, NY 11717-1240

Phone

(631) 612-1317

NPI assigned

Sep 16, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1811399397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 THOMAS ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171240",
            "telephone_number": "631-612-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 THOMAS ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171240",
            "telephone_number": "631-612-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWELEWA",
        "first_name": "FUNMI",
        "middle_name": "MODUPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "3177-92",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Attardi
• Reginald Aumoithe, RN
• Gabriella Claire Auricchio
• Aaron Avni, MD
• Morad Awadallah, MD
• Doris Azornu
• Dordonide I Backer
• Prayasi Bagchi
• Kimberly Ann Baillie
• Berline Marie Bain, RN

• Licensed Practical Nurse in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.