Individual provider Active NPI

Abolanle Iyabosola Salami

  • School Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1811460959
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
680995-1 Issued in NY
Practice address
65 Court St
Brooklyn, NY 11201-4916
Phone
(646) 220-8131
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 680995-1 NY Primary

Addresses

Primary practice location

65 Court St
Brooklyn, NY 11201-4916

Mailing address

2170 Fulton St Apt 2a
Brooklyn, NY 11233-3351

Other identifiers 1

IdentifierTypeStateIssuer
785090564OtherNYDOE

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

LicenseStateTypeSpecialty
680995-1NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1811460959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 FULTON ST APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014916",
            "telephone_number": "646-220-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMI",
        "first_name": "ABOLANLE",
        "middle_name": "IYABOSOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "680995-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOE",
            "identifier": "785090564",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.