Active NPI
Ekundayo Mujaid Sunmonu
- Licensed Practical Nurse
- Bronx, NY
National Provider Identifier
1942514955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 298888-1
- Practice address
- 1085 Washington Ave
Apt 2H
Bronx, NY 10456-6669 - Phone
- (347) 304-3265
- NPI assigned
- Aug 2, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 298888-1 | NY | Primary |
Addresses
Primary practice location
1085 Washington Ave
Apt 2H
Bronx, NY 10456-6669
Mailing address
1085 Washington Ave
Apt 2H
Bronx, NY 10456-6669
Phone (347) 304-3265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 298888-1 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680
50 Water St
Fl 3
New York, NY 10004
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- esunmonu1175675@nychhc.direct-ci.com
Organizations & group practices 3
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.
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1184632945
-
- Skilled Nursing Facility
- New York, NY
- NPI 1922016781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1942514955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1085 WASHINGTON AVE",
"address_2": "APT 2H",
"city": "BRONX",
"state": "NY",
"postal_code": "104566669",
"telephone_number": "347-304-3265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 WASHINGTON AVE",
"address_2": "APT 2H",
"city": "BRONX",
"state": "NY",
"postal_code": "104566669",
"telephone_number": "347-304-3265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNMONU",
"first_name": "EKUNDAYO",
"middle_name": "MUJAID",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-02",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "298888-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.