Abimbola Lois Olagundoye

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

112 Clark St
Hillside, NJ 07205-1621

Phone

(862) 294-8896

NPI assigned

Jan 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1952016784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CLARK ST",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051621",
            "telephone_number": "862-294-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CLARK ST",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051621",
            "telephone_number": "862-294-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAGUNDOYE",
        "first_name": "ABIMBOLA",
        "middle_name": "LOIS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azuka Obuba, PHARM.D
• Joanne Odiase, CCC-SLP
• Benjamine Okoli
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• Doula in Hillside, NJ
• Providers in Hillside, NJ by specialty
• Doula in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.