Individual provider Active NPI

Ayobami Gbemiga Owoeye

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1851545735
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
282933 Issued in NY
Practice address
1471 Saint Marks Ave
Apt 3
Brooklyn, NY 11233-4606
Phone
(917) 600-1888
NPI assigned
Nov 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 282933 NY Primary
Registered Nurse 163W00000X 639520-1 NY

Addresses

Primary practice location

1471 Saint Marks Ave
Apt 3
Brooklyn, NY 11233-4606

Mailing address

1471 Saint Marks Ave
Apt 3
Brooklyn, NY 11233-4606
Phone (917) 600-1888

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
639520-1NYMDRegistered Nurse
282933NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1851545735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 SAINT MARKS AVE",
            "address_2": "APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334606",
            "telephone_number": "917-600-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 SAINT MARKS AVE",
            "address_2": "APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334606",
            "telephone_number": "917-600-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWOEYE",
        "first_name": "AYOBAMI",
        "middle_name": "GBEMIGA",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-05",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "282933",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "639520-1",
            "primary": false
        }
    ],
    "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 Jan 17, 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.

Verify at the official NPI Registry.