DEINMA IBULUBO (NPI# 1013261866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013261866 |
| Entity Type | Individual |
| Full Name | DEINMA IBULUBO |
| Credential | RN, FNP-BC |
| Practice Address |
2054 Tillotson Ave Bronx NY 10475-1560 |
| Mailing Address |
1276 Fulton Ave Rm 219 Bronx NY 10456-3402 |
| Practice Telephone | 7186712100 |
| Mailing Telephone | 7189927669 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 647036 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
363715 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1650 Grand Concourse, Bronx, NY 104577606 | 7189927669 |
| Street Address |
2054 TILLOTSON AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10475-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346510690 | Ochuko Oghenerhuohwo | Registered Nurse | 2054 Tillotson Ave, Bronx, NY 10475-1560 | 2012-01-04 |
| 1417326950 | Micheline Fleurantin | Licensed Practical Nurse | 2054 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 | 2015-09-15 |
| 1093184541 | Michaella Barnes | Licensed Practical Nurse | 2054 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 | 2015-09-15 |
| 1528437076 | Monica Dobson-shannon I | Licensed Practical Nurse | 2054 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 | 2015-09-15 |
| 1295103901 | Bimbo Ibitoye | Licensed Practical Nurse | 2054 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 | 2015-09-11 |
| 1699143370 | Alexandrina Rolland | Licensed Practical Nurse | 2054 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 | 2015-09-11 |
| 1962870642 | Aquila Mambuliya | Licensed Practical Nurse | 2054 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 | 2015-09-11 |
| 1639547573 | Vivian Ekenasi | Licensed Practical Nurse | 2054 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 | 2015-09-09 |
| 1033514328 | Priscilla Elson | Registered Nurse | 2054 Tillotson Ave, Bronx, NY 10475-1560 | 2014-10-29 |
| 1891197851 | Tamika Francina Clemetson | Licensed Practical Nurse | 2054 Tillotson Ave, Suite 102, Bronx, NY 10475-1560 | 2014-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973048 | Sharon Antoinette Hall | Registered Nurse | 2552 Pelham Bay Park West, Apt 1 D, 2551 Pelham Bay Park West, Bronx, NY 10475 | 2019-07-11 |
| 1265912042 | Bartow Pharmacy Inc. | Pharmacy | 500-5 Baychester Ave. Store #5, Bronx, NY 10475 | 2018-08-21 |
| 1518465996 | Jacqueline Caraballo | Nurse Practitioner | 100 De Kruif Place Apt 27h, Bronx, NY 10475 | 2018-01-31 |
| 1093227142 | Rachel Obeng Mireku | Licensed Practical Nurse | 140 Dekruif Place, Apt # 26k, Bronx, NY 10475 | 2017-10-30 |
| 1023534518 | Nelson Merritt Hall | Chiropractor | 2100 Bartow Ave, Ste #227, Bronx, NY 10475 | 2017-08-17 |
| 1245769363 | Sharon Holland Johnson | Licensed Practical Nurse | 140 Dekruif Pl, Bronx, NY 10475 | 2017-06-12 |
| 1740719152 | Nadia S Etienne | Licensed Practical Nurse | 120 De Kruif Place, Apt 18h, Bronx, NY 10475 | 2017-06-08 |
| 1407385891 | Ashley N Freeze | Case Manager/Care Coordinator | 140 Darrow Place Suite 24e, Bronx, NY 10475 | 2017-06-08 |
| 1912454091 | Usth.inc | Early Intervention Provider Agency | 120 Coop City Blvd, 21-f, Bronx, NY 10475 | 2016-09-06 |
| 1447626130 | Zelda Boomer | Registered Nurse | 920 Coop City Blvd Bx. Ny 10475, Bronx, NY 10475 | 2015-08-17 |
| Find all providers in zip 10475 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1659986701 | Yvette Rosemary Veras | Nurse Practitioner | 3400 Paul Ave Apt 20h, Bronx, NY 10468-1015 | 2020-09-14 |
| 1740894302 | Ajirioghene Ojadi | Nurse Practitioner | 100 Casals Pl Apt 6b, Bronx, NY 10475-3007 | 2020-09-01 |
| 1225641129 | Nancilyma Aidoo | Nurse Practitioner | 1880 Lafayette Ave Apt 20e, Bronx, NY 10473-2721 | 2020-08-28 |
| 1639780679 | Julia Donahue | Nurse Practitioner | 860 Grand Concourse Apt 7h, Bronx, NY 10451-2818 | 2020-08-13 |
| 1053920348 | Genesis Castro | Nurse Practitioner | 2194 Barnes Ave Apt A9, Bronx, NY 10462-1929 | 2020-07-23 |
| 1356969299 | Antoinette G Palmer | Nurse Practitioner | 4015 Wilder Ave, Bronx, NY 10466-2328 | 2020-07-07 |
| 1932726528 | Beena Dacosta | Nurse Practitioner | 3725 Blackstone Avenue, Apt 7e, Bronx, NY 10463 | 2020-06-29 |
| 1124640792 | Violet Nkasiobi Nnaemeka | Nurse Practitioner | 2420 Westchester Ave, Bronx, NY 10461-3569 | 2020-05-17 |
| 1033731260 | Diane Loubeau | Nurse Practitioner | 944 E 233rd St, Bronx, NY 10466-3218 | 2020-05-11 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.