SAMUEL OBISANYA (NPI# 1063866002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063866002 |
| Entity Type | Individual |
| Full Name | SAMUEL OBISANYA |
| Practice Address |
69 Birch Rd Apt 1 Staten Island NY 10303-1718 |
| Practice Telephone | 3479946911 |
| Mailing Telephone | 3479946911 |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 310996 | NY | Nursing Service Providers |
| Street Address |
69 BIRCH RD APT 1 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10303-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114580297 | Krisiya Ilianna Deschamps-perez | Registered Nurse | 12 Kinsey Pl, Staten Island, NY 10303 | 2019-04-15 |
| 1376057398 | Vine Gate Inc. | Case Management | 42 Amity Pl, Staten Island, NY 10303 | 2017-11-29 |
| 1396289815 | Lateefat Onitiri | Licensed Practical Nurse | 21 Wright Avenue, Staten Island, NY 10303 | 2016-12-19 |
| 1922466101 | Lydia Ogaja | Registered Nurse | 176 B Netherland Avenue, Staten Island, NY 10303 | 2016-02-03 |
| 1679994594 | Sibi Abraham | Physical Therapist | 2324 Forest Ave Ny, Staten Island, NY 10303 | 2013-12-18 |
| 1750633442 | Geraldine Gamboa | Physical Therapist | 939 Goethals Road North, Unit 1, Staten Island, NY 10303 | 2012-10-05 |
| 1710235635 | Michael J. Tighe | Specialist | 400 Lake Avenue, Visiting Nurse Association, Staten Island, NY 10303 | 2012-08-27 |
| 1710232798 | Funmilola Azeezat Kolawole | Licensed Practical Nurse | 85 Lockman Av, Staten Island, NY 10303 | 2012-07-17 |
| 1396013520 | Destiny Rodriguez | Interpreter | 35 Holland Ave. Apt. 8c, Staten Island, NY 10303 | 2011-12-02 |
| 1497043756 | Margaret Ultra Home Care Inc. | Licensed Practical Nurse | 271b Maple Parkway, Staten Island, NY 10303 | 2011-07-20 |
| Find all providers in zip 10303 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417369950 | Viktoriya Volkova | Licensed Vocational Nurse | 273 Saint Marks Pl Apt 6c, Staten Island, NY 10301-1846 | 2014-06-02 |
| 1366923047 | Temitope Mary Azeez | Licensed Vocational Nurse | 26 Dumont Ave, Staten Island, NY 10305-1450 | 2018-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380071 | Carol A Sustache | Licensed Vocational Nurse | 407 Grand Ave, Syracuse, NY 13204-2711 | 2020-09-11 |
| 1619591484 | Marcia Laki Wright | Licensed Vocational Nurse | 500, 500 Hahnemann Trail, Pittsford, NY 14532 | 2020-06-08 |
| 1306471792 | Amanda Ferrell | Licensed Vocational Nurse | 1196 County 23 Lot 7, Phelps, NY 14532 | 2020-03-06 |
| 1033758289 | Alexa Rose | Licensed Vocational Nurse | 9 Wichard Dr, Oakdale, NY 11769-1513 | 2020-01-04 |
| 1972148658 | Rhonda Irene Petrone | Licensed Vocational Nurse | 162 Merrill St, Rochester, NY 14615-2324 | 2019-11-17 |
| 1205470028 | Kayon Haynes | Licensed Vocational Nurse | 11433 194th St, Saint Albans, NY 11412-2741 | 2019-11-05 |
| 1477103844 | Vanessa Marie Vargas | Licensed Vocational Nurse | 94 Shepard Ave Lowr, Kenmore, NY 14217-1914 | 2019-09-17 |
| 1639723174 | Jamie Zena Morris | Licensed Vocational Nurse | 1372 Sterling Pl B2, Brooklyn, NY 11213 | 2019-08-01 |
| 1093278558 | Alima Abdoulaye | Licensed Vocational Nurse | 1525 Walton Ave Apt 5f, Bronx, NY 10452-6143 | 2019-04-11 |
| 1093271090 | Chantal L Fitzgerald | Licensed Vocational Nurse | 3995 Rt 14a, Reading Center, NY 14876-0073 | 2019-02-14 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10303 |
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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.