Olubowale Fasola, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

299582 Issued in NY

Practice address

9 W Prospect Ave Ste 310
Mount Vernon, NY 10550-2049

Phone

(914) 699-0022

NPI assigned

Aug 13, 2012

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Absolute Home Health Care Inc

  • Nursing Care Agency
  • Mount Vernon, NY
  • NPI 1497903470
  NPD (past)
• Absolute Home Health Care Inc

  • Nursing Care Agency
  • Mount Vernon, NY
  • NPI 1538300496
  NPD (past)

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1851648596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W PROSPECT AVE STE 310",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502049",
            "telephone_number": "914-699-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W PROSPECT AVE STE 310",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502049",
            "telephone_number": "914-699-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASOLA",
        "first_name": "OLUBOWALE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-13",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "299582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Services of Westchester, Inc.
• Sarah Farber
• Nora H Farkouh, MD
• Angellae Farquharson, RN
• Delia M Farquharson, LMSW
• Hilary Fazzone, MD
• Feedyourfocus LLC
• Sean Fenton, LCSW
• Tamika Yvonne Fenton
• Patrice Elizabeth Ferguson, LPN

• Licensed Practical Nurse in Mount Vernon, NY
• Providers in Mount Vernon, 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 Jul 2, 2015; 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.