Individual provider Active NPI

Obehi Ayo, RN

  • Registered Nurse
  • Jamaica, NY
National Provider Identifier
1942574231
Registry record updated Mar 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
592376 Issued in NY
Practice address
15330 89TH Ave
Apt 829
Jamaica, NY 11432-3821
Phone
(718) 974-4979
NPI assigned
Mar 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 592376 NY Primary

Addresses

Primary practice location

15330 89TH Ave
Apt 829
Jamaica, NY 11432-3821

Mailing address

15330 89TH Ave
Apt 829
Jamaica, NY 11432-3821
Phone (718) 974-4979

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
592376NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1330732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330732800000",
    "number": "1942574231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15330 89TH AVE",
            "address_2": "APT 829",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323821",
            "telephone_number": "718-974-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15330 89TH AVE",
            "address_2": "APT 829",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323821",
            "telephone_number": "718-974-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYO",
        "first_name": "OBEHI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-03",
        "last_updated": "2012-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "592376",
            "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 3, 2012; 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.