Oluyemi Abosede Bawa

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

6024591 Issued in NY

Practice address

78 Seneca St
Staten Island, NY 10310-2334

Phone

(347) 552-7366

NPI assigned

Oct 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Zephyr Health Plus LLC

  • Personal Care Attendant
  • Princeton, TX
  • NPI 1073396883
  NPD Authorized official

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1912158254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 SENECA STREET",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102334",
            "telephone_number": "347-552-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 SENECA ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102334",
            "telephone_number": "347-552-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWA",
        "first_name": "OLUYEMI",
        "middle_name": "ABOSEDE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "6024591",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R179725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Bautista, RN
• Richard James Bautista, RN
• James Frank Bavaro I, PA-C
• Stephen Michael Baver, LCSW
• Terry A Baver, PHD
• Bay Dental at the Pointe, P.C.
• Bay Medical Care Services PLLC
• Bay of Hope Inc
• Bay Ridge LCSW PLLC
• Bay RX Pharmacy Inc

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.