Active NPI
Omolara Omotunde-Oniwe, M.S, M.ED, CDN, LPN
- Long Term Care Hospital
- Jamaica, NY
National Provider Identifier
1891236485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 312344
- Practice address
- 13720 171St St
Jamaica, NY 11434-4506 - Phone
- (917) 748-1524
- NPI assigned
- Mar 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 312344 | NY | Primary |
Addresses
Primary practice location
13720 171St St
Jamaica, NY 11434-4506
Mailing address
137-20 171St Street
Jamaica, NY 11434
Phone (917) 748-1524
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
- Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 312344 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bridge, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1831269315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1891236485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137-20 171ST STREET",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11434",
"telephone_number": "917-748-1524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13720 171ST ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114344506",
"telephone_number": "917-748-1524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMOTUNDE-ONIWE",
"first_name": "OMOLARA",
"credential": "M.S, M.ED, CDN, LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-15",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "NY",
"license": "312344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.