Active NPI
Gbemisola Bukola Alamu, MSED
- Specialist
- Brooklyn, NY
National Provider Identifier
1831441955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1765313
- Practice address
- 670 Parkside Ave
Brooklyn, NY 11226-1506 - Phone
- (718) 675-1249
- NPI assigned
- Oct 12, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1765313 | NY | Primary |
Addresses
Primary practice location
670 Parkside Ave
Brooklyn, NY 11226-1506
Mailing address
575 Powell St
Brooklyn, NY 11212-7033
Phone (347) 977-2599
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 |
|---|---|---|---|
| 1765313 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1831441955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 POWELL ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112127033",
"telephone_number": "347-977-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 PARKSIDE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112261506",
"telephone_number": "718-675-1249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAMU",
"first_name": "GBEMISOLA",
"middle_name": "BUKOLA",
"name_prefix": "Mrs.",
"credential": "MSED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-12",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1765313",
"primary": true
}
],
"identifiers": [],
"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 Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.