Individual provider Active NPI

Elizabeth Oluyemisi Ojofeitimi, RN

  • Home Health Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1891095535
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
45361-1 Issued in NY
Practice address
39 Paerdegat 3Rd St
Brooklyn, NY 11236-4133
Phone
(347) 558-5580
NPI assigned
Oct 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 45361-1 NY Primary

Addresses

Primary practice location

39 Paerdegat 3Rd St
Brooklyn, NY 11236-4133

Mailing address

39 Paerdegat 3Rd St
Brooklyn, NY 11236-4133
Phone (347) 558-5580

Other names 1

  • Elizabeth Oluyemisi Olowo Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
45361-1NYMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1891095535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PAERDEGAT 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364133",
            "telephone_number": "347-558-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 PAERDEGAT 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364133",
            "telephone_number": "347-558-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJOFEITIMI",
        "first_name": "ELIZABETH",
        "middle_name": "OLUYEMISI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "45361-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "OLOWO",
            "middle_name": "OLUYEMISI",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 28, 2010; 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.