Individual provider Active NPI

Olufemi Samuel Sode, RN

  • Registered Nurse
  • Sicklerville, NJ
National Provider Identifier
1972730992
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9583532 Issued in FL
Practice address
521 Sicklerville Rd Ste 2
Sicklerville, NJ 08081-2636
Phone
(866) 867-5435
NPI assigned
Jun 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 26NP05883700 NJ
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN9583532 FL Primary

Addresses

Primary practice location

521 Sicklerville Rd Ste 2
Sicklerville, NJ 08081-2636

Mailing address

PO Box 763
Sicklerville, NJ 08081-0763
Phone (856) 278-2223

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
RN9583532FLMDRegistered Nurse
26NP05883700NJMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Carelink Health Care Services LLC Current Accepting new patients
Carelink Health Care Services, LLC Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1972730992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080810763",
            "telephone_number": "856-278-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 SICKLERVILLE RD STE 2",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812636",
            "telephone_number": "866-867-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODE",
        "first_name": "OLUFEMI",
        "middle_name": "SAMUEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP05883700",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9583532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2024; 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.