Moliat M Edundiran I

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

338648 Issued in NY

Practice address

72 Foster Blvd
Babylon, NY 11702-1503

Phone

(343) 479-3253

NPI assigned

Oct 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1912623133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 FOSTER BLVD",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021503",
            "telephone_number": "347-932-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 FOSTER BLVD",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021503",
            "telephone_number": "343-479-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDUNDIRAN",
        "first_name": "MOLIAT",
        "middle_name": "M",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "338648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Douglas a. Keller,D.M.D., P.C.
• Sarita Duchatelier, MD
• Sharda Dunne, MA,CCC-SLP
• Heidi G. Durler
• Olivia Marilyn Eden
• Miranda Edwards, LMSW
• Elevation Fitness
• Polly Angela Elkins
• Francesca Bucaro Emma, LMHC
• Jeffrey M Epstein, MD

• Licensed Practical Nurse in Babylon, NY
• Providers in Babylon, 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 Oct 19, 2022; 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.